An adult male who has end-stage renal disease asks the practical nurse (PN) to remove his arteriovenous (AV) fistula because he wants to discontinue dialysis. Which action should the PN take first?
Encourage the client to discuss his feelings with his family.
Explain what will happen if the client stops dialysis.
Ask the healthcare provider to remove the fistula from his arm.
Document the client's statement in his medical record.
The Correct Answer is B
A. Encourage client to discuss feelings with family: Helpful but not the immediate priority.
B. Explain what will happen if client stops dialysis: Ensure informed decision-making about the consequences.
C. Ask provider to remove fistula: Not appropriate until client is fully informed.
D. Document the client’s statement: Should be done, but first priority is patient education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Contact the healthcare provider (HCP) about client's new onset of chest pain:
Requires RN assessment before contacting the HCP.
B. Resume administration of the anticoagulant medication therapy:
Requires provider order confirmation and RN verification.
C. Observe for bleeding at catheter insertion site every 15 minutes:
Within PN scope and critical for early detection of complications.
D. Monitor electrocardiogram (ECG) for dysrhythmias and other abnormal changes:
ECG interpretation is RN responsibility.
Correct Answer is B
Explanation
A. Limit play with the stuffed toy when out of tent: Doesn’t address infection control inside tent.
B. Allow the child to have the stuffed toy in the tent: Familiar items reduce anxiety; mist tent moisture doesn’t require toy exclusion if clean.
C. Ask the mother to wash the toy daily: Not necessary unless visibly soiled; overburdens family.
D. Spray toy with disinfectant before placing in tent: Disinfectant residue may be harmful to child.
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