« previous next »

Author Question: When caring for a patient with a left arm arteriovenous fistula, which action will the nurse include ... (Read 72 times)

magmichele12

  • Hero Member
  • *****
  • Posts: 559
on: Jun 25, 2018
When caring for a patient with a left arm arteriovenous fistula, which action will the nurse include in the plan of care to maintain the patency of the fistula?
 
  a. Auscultate for a bruit at the fistula site.
  b. Assess the quality of the left radial pulse.
  c. Compare blood pressures in the left and right arms.
  d. Irrigate the fistula site with saline every 8 to 12 hours.

Question 2

A 37-year-old female patient is hospitalized with acute kidney injury (AKI). Which information will be most useful to the nurse in evaluating improvement in kidney function?
 
  a. Urine volume
  b. Creatinine level
  c. Glomerular filtration rate (GFR)
  d. Blood urea nitrogen (BUN) level


ApricotDream

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
The presence of a thrill and bruit indicates adequate blood flow through the fistula. Pulse rate and quality are not good indicators of fistula patency. Blood pressures should never be obtained on the arm with a fistula. Irrigation of the fistula might damage the fistula, and typically only dialysis staff would access the fistula.

Answer to Question 2

ANS: C
GFR is the preferred method for evaluating kidney function. BUN levels can fluctuate based on factors such as fluid volume status and protein intake. Urine output can be normal or high in patients with AKI and does not accurately reflect kidney function. Creatinine alone is not an accurate reflection of renal function.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal
nurse nurse
Patient with osteoarthritis Patient with osteoarthritis
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
The phases and ionic basis of an action potential. The phases and ionic basis of an action potential.
Algorithm for assessing a patient at risk for suicide. Algorithm for assessing a patient at risk for suicide.
Video: Neural regulation of mechanical digestion- CNS voluntary, ANS & ENS controlled involuntary movements

For a complete list of videos, visit our video library