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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Insomnia is not a typical indicator of organ rejection and may be related to stress or medications.
B. Temperature of 36.1°C (97.0°F) is within normal range and does not indicate rejection.
C. Weight loss is not a common sign of acute rejection; weight gain from fluid retention is more likely.
D. Oliguria (decreased urine output) is a key manifestation of kidney transplant rejection, as it may indicate impaired graft function.
Correct Answer is A
Explanation
A. WBC count of 20,000/mm³ indicates a possible infection, such as peritonitis — a serious and common complication of peritoneal dialysis that requires immediate intervention.
B. Blood glucose of 200 mg/dL can occur with glucose-based dialysate, especially in diabetic clients, and is managed medically.
C. Potassium of 3.5 mEq/L is at the low-normal range and not an immediate concern.
D. Hematocrit of 35% is within a relatively acceptable range and not typically urgent.
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.