The nurse is assessing circulation through a client's arteriovenous shunt. Which of the following are signs of a patent site? (Select all that apply.)
1. Normal blood pressure
2. Positive bruit
3. Pulse present distal to the site
4. Dry dressing
5. Palpable thrill
6. Good skin turgor
2, 5
A positive bruit and palpable thrill indicate potential site patency. Blood pressure and a dry dressing do not assess circulation to the shunt. Good skin turgor does not indicate good circulation through the shunt. A pulse present distal to the site is a normal finding that does not indicate site patency.
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a. Sims b. Prone c. Lithotomy d. Knee-chest
Which of the following are sources that can assist in covering the cost of extended care? (Select all that apply.)
a. Medicare and Medicaid d. client's savings b. state funds e. long-term care insurance c. supplemental security income f. federal grants
The nurse notes that a client has an elevated temperature that will return to normal at least once every 24 hours. This client is demonstrating which type of fever?
a. Recurrent c. Remittent b. Sustained d. Intermittent
A patient's heart rate is regular at 68 beats/min. The electrocardiogram (ECG) tracing shows P waves before every QRS complex. What is the likely pacemaker of the heart?
a. SA node b. AV node c. Bundle of His d. Purkinje fibers