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Author Question: After the insertion of an arteriovenous graft (AVG) in the right forearm, a 54-year-old patient ... (Read 51 times)

cabate

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on: Jun 25, 2018
After the insertion of an arteriovenous graft (AVG) in the right forearm, a 54-year-old patient complains of pain and coldness of the right fingers. Which action should the nurse take?
 
  a. Teach the patient about normal AVG function.
  b. Remind the patient to take a daily low-dose aspirin tablet.
  c. Report the patient's symptoms to the health care provider.
  d. Elevate the patient's arm on pillows to above the heart level.

Question 2

A patient has been diagnosed with urinary tract calculi that are high in uric acid. Which foods will the nurse teach the patient to avoid (select all that apply)?
 
  a. Milk
  b. Liver
  c. Spinach
  d. Chicken
  e. Cabbage
  f. Chocolate


LP

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
The patient's complaints suggest the development of distal ischemia (steal syndrome) and may require revision of the AVG. Elevation of the arm above the heart will further decrease perfusion. Pain and coolness are not normal after AVG insertion. Aspirin therapy is not used to maintain grafts.

Answer to Question 2

ANS: B, D
Meats contain purines, which are metabolized to uric acid. The other foods might be restricted in patients who have calcium or oxalate stones.


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