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Questions 149

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Question 1 of 5

A client with end-stage renal failure receives hemodialysis via an arteriovenous fistula (AV) placed in the right arm. When caring for the client, the nurse should:

Correct Answer: C

Rationale: Auscultating for a bruit confirms AV fistula patency, which is critical for hemodialysis.

Question 2 of 5

The nurse is asked by the nurse aide, 'Are peptic ulcers really caused by stress?' The nurse would be correct in replying with the following:

Correct Answer: D

Rationale: Peptic ulcers are primarily caused by H. pylori infection, though stress can contribute to other types of ulcers.

Question 3 of 5

The nurse expects a child with a deficiency in factor VIII to be diagnosed with

Correct Answer: A

Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.

Question 4 of 5

The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:

Correct Answer: D

Rationale: Monitoring intake and output during TPN helps prevent fluid overload, a risk due to the high volume and osmolarity of the solution.

Question 5 of 5

The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.

Correct Answer: B,C,D,F

Rationale: Diabetic ketoacidosis (DK
A) is characterized by polyuria (
B), hyperventilation (C, Kussmaul respirations), polydipsia (
D), and abdominal pain (F) due to hyperglycemia and acidosis. Increased appetite (
A) and hypertension (E) are not typical DKA symptoms.

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