A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?

Blood pressure 134/82 mm Hg

Headache, restlessness

Palpable thrill at the AV fistula access site

Heart rate 65 bpm

Answer and Explanation

The Correct Answer is B

Choice A reason: A blood pressure of 134/82 mm Hg is within the normal range and typically does not require immediate intervention. It is important to monitor blood pressure trends, but this value alone is not concerning.

Choice B reason: The correct answer is b because headache and restlessness can be signs of dialysis-related complications such as disequilibrium syndrome or fluid and electrolyte imbalances. These symptoms should be reported to the provider for further evaluation and management.

Choice C reason: A palpable thrill at the AV fistula access site indicates that the fistula is functioning properly. This is an expected finding and does not require intervention.

Choice D reason: A heart rate of 65 bpm is within the normal range for most adults and does not typically require immediate intervention unless associated with other symptoms or abnormalities.

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Correct Answer is B

Explanation

Choice A reason: While bulimia can cause gastrointestinal issues, it is not directly linked to the development of peptic ulcers. Peptic ulcers are primarily associated with factors that affect the stomach lining and increase gastric acidity.

Choice B reason: The correct answer is b because the use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen is a well-known risk factor for peptic ulcers. NSAIDs can irritate the stomach lining and inhibit the production of protective mucus, leading to ulcer formation.

Choice C reason: Drinking green tea has not been shown to be a risk factor for peptic ulcers. In fact, some studies suggest that green tea may have protective effects on the stomach lining.

Choice D reason: Consuming spicy foods is often believed to cause peptic ulcers, but there is no scientific evidence to support this. Spicy foods may exacerbate symptoms in individuals with existing ulcers, but they do not cause the condition.

A. Burning during urination B. Reddish-orange urine C. Visual disturbances D. Lethargy

Correct Answer is B

Explanation

Choice A reason: Phenazopyridine is a urinary tract analgesic used to relieve symptoms such as burning, pain, and urgency during urination. It should reduce burning during urination, not cause it.

Choice B reason: The correct answer is b because reddish-orange urine is a common and expected side effect of phenazopyridine. The medication can cause discoloration of urine, which is harmless but important for clients to be aware of to avoid unnecessary concern.

Choice C reason: Visual disturbances are not a known side effect of phenazopyridine. Clients should be informed to report any unusual symptoms, but this is not typically associated with the medication.

Choice D reason: Lethargy is also not a common side effect of phenazopyridine. The medication primarily acts on the urinary tract and does not generally cause significant systemic effects.

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A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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