Author Question: A patient will need vascular access for hemodialysis. Which statement by the nurse accurately ... (Read 21 times)

Brittanyd9008 · **on:** Jun 25, 2018

A patient will need vascular access for hemodialysis. Which statement by the nurse accurately describes an advantage of a fistula over a graft?

a. A fistula is much less likely to clot.
b. A fistula increases patient mobility.
c. A fistula can accommodate larger needles.
d. A fistula can be used sooner after surgery.

Question 2

Before administration of calcium carbonate (Caltrate) to a patient with chronic kidney disease (CKD), the nurse should check laboratory results for

a. potassium level.
b. total cholesterol.
c. serum phosphate.
d. serum creatinine.

bfulkerson77 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Arteriovenous (AV) fistulas are much less likely to clot than grafts, although it takes longer for them to mature to the point where they can be used for dialysis. The choice of an AV fistula or a graft does not have an impact on needle size or patient mobility.

Answer to Question 2

ANS: C
If serum phosphate is elevated, the calcium and phosphate can cause soft tissue calcification. The calcium carbonate should not be given until the phosphate level is lowered. Total cholesterol, creatinine, and potassium values do not affect whether calcium carbonate should be administered.