Practice Question
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as possible indications of venous insufficiency?
Answer Choices:
Correct Answer:
Coldness and numbness distal to the fistula site
Rationale:
🔷 Venous insufficiency occurs when the fistula is obstructed or thrombosed, leading to reduced blood flow to the distal extremities.
🔷 The coldness and numbness indicate a lack of adequate circulation, which is a serious complication of an arteriovenous fistula.
🔷 Other symptoms, such as a raised red rash or foul-smelling drainage, would indicate an infection, not venous insufficiency.
🔷 Prompt evaluation and intervention can prevent irreversible damage to the fistula and loss of access for dialysis.
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This question is from RN ATI MedSurg Exam V which contains 90 questions.
More Questions from This Exam
A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply.)
Answer Choices:
A. "I must wash my hands every time before I connect the tubing to the catheter in my stomach."
B. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity.
C. I will weigh myself daily and keep track of my weight in my dialysis record."
D. "I will complete the instillation of fluid once a day at bedtime."
E. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply.).
Answer Choices:
A. Pruritus
B. Slurred speech
C. Hypotension
D. Bone pain
E. Bradypnea
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Answer Choices:
A. Hypernatremia
B. Hypophosphatemia
C. Hypercalcemia
D. Hyperkalemia
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Answer Choices:
A. Serum creatinine 1.8 mg/dL
B. Blood urea nitrogen (BUN) 200 mg/dL
C. Serum osmolality 290 mOsm/kg H₂O
D. Magnesium 2.0 mEq/L
A nurse is caring for a client admitted with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply).
Answer Choices:
A. Fever
B. Urinary urgency
C. Incontinence
D. Gastrointestinal upset
E. Flank pain
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4