A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Auscultate the site for a bruit.

Measure the client's blood pressure to ensure it is higher in the left arm than the right.

Auscultate the antecubital fossa using a Doppler.

Check the brachial and radial pulses of the left arm simultaneously.

Answer and Explanation

The Correct Answer is A

A. Auscultating for a bruit at the site of an AV graft is the most appropriate method to assess its patency. A bruit is a sound made by turbulent blood flow, indicating that the graft is functioning.

B. Measuring blood pressure in both arms does not specifically assess the patency of the graft and could potentially harm the graft if measured in the affected arm.

C. Auscultating the antecubital fossa using a Doppler is not a standard practice for assessing AV graft patency; instead, a stethoscope is used directly over the graft site.

D. Checking the brachial and radial pulses does not assess the graft directly. Although pulse presence is important, it does not provide information about the graft’s patency.

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Correct Answer is C

Explanation

A. Discomfort at the puncture site is expected after a thoracentesis and typically managed with analgesics.

B. A decreased temperature is not a common complication of thoracentesis and might indicate other issues, but it is not immediately alarming.

C. An increased heart rate (tachycardia) could be a sign of a pneumothorax, hemorrhage, or other serious complications following thoracentesis. This requires immediate assessment and intervention.

D. Serosanguineous drainage is expected to some extent, but it should be monitored for changes that might indicate a complication such as infection or continued bleeding.

A. Urine output B. Pupillary response C. Temperature D. Apical heart rate

Correct Answer is A

Explanation

A. Desmopressin is a synthetic analog of antidiuretic hormone (ADH) and is used to reduce urine output in conditions like diabetes insipidus. Monitoring urine output is the primary way to assess the effectiveness of this medication. A decrease in urine volume indicates the medication is working effectively.

B. Pupillary response is not relevant in assessing the effectiveness of desmopressin.

C. Temperature monitoring is important in general patient care but does not directly relate to the effectiveness of desmopressin.

D. Apical heart rate is important to monitor in many scenarios but is not a direct indicator of desmopressin's effectiveness.

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A nurse is caring for a client who is being admitted to the medical-surgical unit from the emergency department. The nurse is reviewing the client's medical records.

Exhibits


Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

Correct Answer is C

Explanation

A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?

Correct Answer is A

Explanation

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