The nurse is providing education to the client with a new arteriovenous fistula and the client asks "when I touch my fistula feel it vibrate, what does that mean? What statement by the nurse is the correct way to answer the client's question?
“This is called a thrill and it means that your fistulas not working.”
"This is not a normal sign will call your provider right away.”
"This is called a bruit and it shows that your fistula patent."
“This is called a thrill and it means that your fistula is patent.”
The Correct Answer is D
A. “This is called a thrill and it means that your fistula is not working.” A thrill is a normal finding and means the fistula is functioning properly.
B. "This is not a normal sign; we will call your provider right away.” A lack of thrill is abnormal, not the presence of one.
C. "This is called a bruit and it shows that your fistula is patent." The thrill is felt and the bruit is heard.
D. "This is called a thrill and it means that your fistula is patent." A thrill (vibration) is a normal finding in an AV fistula and indicates adequate blood flow. A bruit (whooshing sound) is heard on auscultation and also confirms patency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cabbage: While nutritious, cabbage is not a significant source of calcium.
B. Broccoli: Broccoli is rich in calcium, which is crucial for bone health and osteoporosis prevention.
C. Carrots: Carrots are rich in vitamin A, not calcium.
D. Potatoes: Potatoes provide potassium, not calcium.
Correct Answer is D
Explanation
A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.
B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.
C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.
D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.
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