A patient is admitted with signs of chronic kidney disease. What ...

[scienceeasy]

A patient is admitted with signs of chronic kidney disease. What finding should the nurse use to determine whether this patient is developing metabolic acidosis?
 
  1. Kussmaul respirations
  2. low urine output
  3. muscle cramps
  4. diarrhea

Question 2

A patient is scheduled to have an arteriovenous (AV) fistula created for hemodialysis. What should the nurse include when teaching the patient about this fistula?
 
  Select all that apply.
  1. Avoid using the arm with the fistula for blood pressure readings.
  2. A functioning fistula has a palpable pulse and bruit.
  3. Ensure the use of the dominant hand and arm for placement.
  4. The fistula can be used immediately after its creation.
  5. Venipunctures should be performed on the arm with the fistula.

[Edwyer]

Answer to Question 1

Correct Answer: 1

Answer to Question 2

Correct Answer: 1, 2
Avoid using the arm with the fistula for blood pressure readings. A functional arteriovenous (AV) fistula has a palpable pulse and a bruit on auscultation. The arm in which a fistula is placed should not be used for venipuncture, and that arm should be marked as not available for these purposes. It takes about a month for the fistula to mature.