A student nurse wants to know why a bruit is heard and a thrill ...

[acc299]

A student nurse wants to know why a bruit is heard and a thrill palpated at the site of an AV fistula used for dialysis. Which response by the nephrology nurse is the most appropriate?
 
  A.
  Abnormal findings signaling complications
  B.
  Flapping of the AV valve during circulation
  C.
  Small blood clots blocking some blood flow
  D.
  Turbulent blood flow through the fistula

Question 2

The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen). Which response by the nurse is the most accurate?
 
  A.
  It binds with and removes phosphorus.
  B.
  It will help his body to make more red blood cells.
  C.
  It will help to boost his white blood cell count.
  D.
  It will help his body to make more platelets so he doesn't bleed.

[abctaiwan]

Answer to Question 1

ANS: D
Blood flowing through an AV fistula goes from a high-pressure system into a low-pressure system during circulation, leading to turbulent flow. It is a normal finding and not caused by the AV valve or small blood clots.

Answer to Question 2

ANS: B
Anemia is common with chronic kidney disease due to reduced erythropoeitin, which is vital for making red blood cells. The other answers are incorrect.

[acc299]

Thanks for the timely response, appreciate it

[alvinum]

Gracias!