A nurse is assessing the fistula in the arm of a client receiving hemodialysis for chronic renal failure. Which of the following indicates that the fistula is patent?
a. absence of a bruit on auscultation of the fistula
b. palpation of a thrill over the fistula
c. presence of a radial pulse in the wrist
d. capillary refill of less than 3 seconds
B
Assess circulation through the site by palpation or listening with a Doppler stethoscope. A thrill should be felt, or a bruit should be heard.
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What is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment?
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Which neurologic assessment is being performed in the exhibit?
1. Kernig's sign 2. Babinski reflex 3. Brudzinski sign 4. Decorticate posturing
The nurse is making a home visit to an elderly patient with a history of pressure ulcers. The patient lives with her son, daughter, an four grandchildren
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