A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that apply)

Assess fingers on the left arm for warmth

Wear wristwatch on the right arm

Avoid sleeping on the left arm

Remind the health care providers to draw blood from veins on the left side

Obtain blood pressure from the left arm

Answer and Explanation

Correct Answer : A,B,C

A. Monitoring for warmth in the fingers of the left arm is important to assess for proper circulation through the arteriovenous fistula.

B. Wearing a wristwatch on the right arm prevents putting pressure on the left arm, where the fistula is located, which could affect its function.

C. Avoiding sleeping on the left arm helps prevent pressure on the fistula and reduces the risk of complications.

D. Blood should not be drawn from the left arm with the fistula as it could damage the fistula.

E. Blood pressure should not be taken from the left arm to avoid disrupting the fistula's function.

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Correct Answer is D

Explanation

A. Weight gain is typically seen in the oliguric phase, not the diuresis phase. In the diuresis phase, the client is excreting excess fluid, leading to weight loss.

B. A creatinine level of 1.0 is within the normal range and would not be expected during the diuresis phase of acute kidney injury, when creatinine levels would still be elevated.

C. GFR of 100 mL/min is normal, but in acute kidney injury, the GFR would be decreased. A GFR above 90 mL/min would not be expected in the diuresis phase.

D. Weight loss is a key finding in the diuresis phase due to the loss of excess fluids as the kidneys begin to recover.

Correct Answer is ["4"]

Explanation

Number of capsules = required dose/dose per capsule

The client receives 200 mg per dose.

Each capsule contains 50 mg.

200 mg / 50 mg/capsule = 4 capsules.

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A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client in the diuresis phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A client is to receive Doxycycline 200 milligrams orally twice a day for seven days. On hand are 50-milligram capsules. How many capsules would the patient receive for the 8:00 AM dose?

Correct Answer is ["4"]

Explanation

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