The patient is in a progressive care unit following arteriovenous fistula implantation in his left upper arm, and is due to have blood drawn with his next set of vital signs and assessment. When the nurse assesses the patient, the nurse should

Correct Answer: D

Rationale: The correct answer is D. Auscultating the left arm for a bruit and palpating for a thrill are essential post-arteriovenous fistula implantation assessments. A bruit indicates turbulent blood flow, which could suggest stenosis or occlusion. A thrill indicates the patency of the fistula. Drawing blood from the left arm (A) should be avoided to prevent damage to the fistula. Taking blood pressure from the left arm (B) could also damage the fistula. Starting a new intravenous line in the left lower arm (C) is unnecessary and could increase the risk of infection.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Hemodialysis involves fluid removal, which can lead to hypotension due to rapid changes in blood volume. 2. Hypotension is a common complication during hemodialysis sessions. 3. Patients on hemodialysis are at increased risk of hypotension due to decreased vascular tone. 4. Monitoring and managing hypotension is crucial to prevent further complications. Summary: B: Dysrhythmias are not commonly associated with hemodialysis for acute kidney injury. C: Muscle cramps may occur but are not as common as hypotension. D: Hemolysis is not a typical complication of hemodialysis for acute kidney injury.

Correct Answer: A

Rationale: The correct answer is A: peritoneal fluid. The peritoneal fluid is the transcellular fluid associated with the intestines. It is found within the peritoneal cavity, which surrounds the abdominal organs, including the intestines. Peritoneal fluid helps lubricate the abdominal organs and allows them to move smoothly during digestion. Pericardial fluid (B) is found in the pericardial sac surrounding the heart, intrapleural fluid (C) is in the pleural cavity surrounding the lungs, and synovial fluid (D) is found in joint cavities. These fluids serve different purposes and are not directly associated with the intestines.

Correct Answer: D

Rationale: The correct answer is D because normal blood pH is slightly basic, not acidic. Blood pH range is narrow (7.35-7.45) for optimal physiological function. A is incorrect because blood pH is slightly basic, not acidic. B is incorrect because the normal range of blood pH is indeed narrow. C is incorrect as it accurately describes the normal range of blood pH. Thus, D is the only statement that does not describe normal blood pH.

Correct Answer: C

Rationale: The correct answer is C: Normally small transcellular fluid compartment, or third space, is becoming enlarged. In liver failure with ascites, there is an abnormal accumulation of fluid in the peritoneal cavity due to low oncotic pressure from decreased albumin production by the liver. This results in an enlarged transcellular fluid compartment, known as the "third space," leading to the distended abdomen. Options A, B, and D are incorrect because they do not accurately explain the specific fluid compartment enlargement seen in ascites related to liver failure. Option A refers to interstitial fluid, not the transcellular compartment. Option B incorrectly mentions the intracellular fluid compartment, which is not the primary issue in ascites. Option D incorrectly refers to plasma accumulating in the peritoneal cavity, which is not the mechanism behind the abdominal distension in this case.