Author Question: A client with acute renal failure has jugular vein distention, lower extremity edema, and elevated ... (Read 158 times)

sam.t96

  • Hero Member
  • *****
  • Posts: 570
A client with acute renal failure has jugular vein distention, lower extremity edema, and elevated blood pressure. Based on this data, which nursing diagnosis is the most appropriate?
 
  A) Ineffective Renal Tissue Perfusion
  B) Excess Fluid Volume
  C) Risk for Altered Cardiac Perfusion
  D) Risk for Infection

Question 2

A client agrees to receive long-term hemodialysis to treat acute renal failure. For which surgical procedure should the nurse instruct this client?
 
  A) Insertion of a double-lumen catheter into the subclavian artery
  B) Placement of a peritoneal catheter
  C) Insertion of a subarachnoid-peritoneal shunt
  D) Placement of an arteriovenous fistula



otokexnaru

  • Sr. Member
  • ****
  • Posts: 314
Answer to Question 1

Answer: B

Jugular vein distention, edema, and elevated blood pressure are indications of excessive fluid. The diagnosis Excess Fluid Volume should be selected to guide this client's care. Oliguria or reduced urine output would be a symptom associated with Ineffective Renal Tissue Perfusion. Alterations in heart rate and rhythm would be symptoms associated with Risk for Altered Cardiac Perfusion. The client is not demonstrating any manifestations that indicate a Risk for Infection.

Answer to Question 2

Answer: D

For long-term vascular access needed for hemodialysis, an arteriovenous (AV) fistula is created. The fistula is created by surgical anastomosis of an artery and vein, usually the radial artery and cephalic vein. It takes about a month for the fistula to mature so that it can be used for taking and replacing blood during dialysis. A double-lumen catheter inserted into a major artery is used as temporary vascular access for continuous renal replacement therapy. A peritoneal catheter is used for peritoneal dialysis and not hemodialysis. A subarachnoid-peritoneal shunt is used to remove excess cerebral spinal fluid and not for hemodialysis.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...

For a complete list of videos, visit our video library