The nurse cares for a client with a right-arm arteriovenous fistula (AVF) for hemodialysis treatments. Which nursing action is contraindicated?

Obtaining blood samples from the left arm

Placing the client's watch on the left wrist

Palpating the fistula for a "thrill"

Obtaining a blood pressure reading from the right arm

Answer and Explanation

The Correct Answer is D

A. Drawing blood from the left arm is appropriate and avoids compromising the AVF site.
B. Wearing a watch on the left wrist poses no risk to the AVF in the right arm.
C. Palpating for a "thrill" is a correct assessment technique to check AVF patency.
D. Taking a blood pressure reading on the arm with an AVF is contraindicated because it can damage the fistula, reduce blood flow, or lead to thrombosis.

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Correct Answer is B

Explanation

A. Weighing at a convenient time can lead to inconsistent results; accuracy depends on consistency.
B. Weighing the client at the same time each day (preferably in the morning, after voiding and before eating) ensures accurate monitoring of fluid status.
C. Balancing the scale at minus two is incorrect and could lead to inaccurate weights.
D. Using different scales can produce variations in measurements; the same scale should be used daily.

A. BUN levels range 8 to 24 mg/dl B. Creatinine levels range 0.7 to 1.3mg/dl C. BUN 45 mg/dL and creatinine 8 mg/dL. D. BUN 10 mg/dL and creatinine 0.3 mg/dL E. OBUN 23 mg/dL and creatinine 1.0 mg/dl.

Correct Answer is A

Explanation

A. BUN of 45 mg/dL and creatinine of 8 mg/dL are elevated and consistent with chronic kidney disease due to the kidneys’ reduced ability to excrete waste products.
B. Creatinine of 0.3 mg/dL is below the normal range, not consistent with CKD.
C. These values are within the normal range and would not indicate CKD.
D. These are both normal values, not expected in a client with chronic kidney disease.

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The nurse cares for a client with a right-arm arteriovenous fistula (AVF) for hemodialysis treatments. Which nursing action is contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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