When assessing the client's AV fistula, the nurse notes vibration at the fistula site. How should the nurse respond to this finding?

A. Contact the health care provider.
B. Ask the client how long this has occurred.
C. Determine when the fistula was placed.
D. Document the finding.


Answer: D

Nursing

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When assessing a client's integumentary status, the nurse notes a 1.0-cm, red, nonpalpable lesion on the client's arm. This should be recorded as a:

a. papule. c. patch. b. nodule. d. macule.

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The nurse conducting a physical assessment on a client with ascorbic acid (vitamin C) deficiency would assess that the clinical manifestation associated with this problem is

a. bumpy or scaly skin. b. ecchymotic skin lesions. c. extremity edema. d. muscle tetany.

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Which of the following are characteristics of ethical research that go beyond the protection of human rights? Select all that apply

a. Scientific objectivity b. Cooperation c. Courage d. Personal gain e. Equitability

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Which is the following is the widely accepted definition of postpartum haemorrhage?

a. loss of 400 mL of blood or greater b. loss of 600 mL of blood or greater c. loss of 800 mL of blood or greater d. loss of 1000 mL of blood or greater

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