A nurse is caring for a client who has undergone hemodialysis.
Which of the following findings should the nurse report to the provider?
Decrease in weight.
Vibration at fistula site.
Headache.
Fatigue.
The Correct Answer is C
Choice A rationale
A decrease in weight is common post-hemodialysis due to fluid removal. This is usually anticipated and does not require immediate reporting unless there are other associated symptoms or unusual weight patterns indicating fluid imbalance.
Choice B rationale
Vibration at the fistula site, known as a thrill, indicates proper functioning of the arteriovenous fistula. This finding is expected and does not necessitate urgent communication unless there are other complications.
Choice C rationale
Headache following hemodialysis may indicate fluid shifts, electrolyte imbalances, or other underlying problems. It should be reported to the provider for further evaluation and possible intervention to address these concerns.
Choice D rationale
Fatigue is a common post-hemodialysis symptom due to the physiological stress of the procedure. While expected, its severity should be evaluated in the context of other findings to determine if it needs attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Peak expiratory flow volume measurement assesses airway obstruction in conditions like asthma but is unrelated to postoperative tonsillectomy care or oxygenation improvement.
Choice B rationale
Using straws post-tonsillectomy increases suction pressure, risking clot disruption at the surgical site. This can lead to bleeding complications and delayed healing.
Choice C rationale
Encouraging coughing post-tonsillectomy may disturb surgical site healing and increase bleeding risk due to heightened pressure on the tissue and clot displacement.
Choice D rationale
Semi-Fowler position improves oxygenation and reduces edema in the throat by promoting adequate drainage and minimizing swelling, benefiting postoperative tonsillectomy patients. .
Correct Answer is C
Explanation
Choice A rationale
Numbness of the affected extremity is not a classic symptom of deep-vein thrombosis (DVT). DVT primarily affects venous circulation, causing symptoms like pain, swelling, and warmth, rather than sensory deficits like numbness, which are more indicative of nerve involvement or arterial issues.
Choice B rationale
Muscle spasms are not a hallmark sign of DVT. They are typically associated with muscular or neuromuscular issues. DVT symptoms are more focused on vascular changes such as pain, swelling, and increased warmth in the affected area due to impaired venous return.
Choice C rationale
Warmth of the affected extremity occurs due to localized inflammation caused by clot formation in the vein. The body’s inflammatory response to the thrombus leads to vasodilation and increased blood flow to the area, resulting in the sensation of warmth upon palpation.
Choice D rationale
An absent pedal pulse is not indicative of DVT, as this condition involves venous, not arterial, circulation. A missing pulse suggests arterial occlusion or peripheral vascular disease, distinct from venous thromboembolism like DVT.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.