NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is in need of hemodialysis for end-stage renal failure. The physician has inserted an AV fistula. Which of the following nursing interventions is appropriate when caring for this access site?
Correct Answer: A
Rationale: When caring for an AV fistula used for hemodialysis, it is important to assess for a bruit (a humming sound) or thrill (a vibrating sensation) at the site of the fistula. These indicate proper blood flow through the fistula, ensuring it is patent and suitable for hemodialysis. Assessing for clotting in fistula tubing (
Choice
A) is not a routine nursing intervention for AV fistulas. Applying a dressing over the fistula site (
Choice
B) is not necessary as the site needs to be accessible for hemodialysis. Assessing circulation proximal to the fistula site (
Choice
D) is important but not specific to caring for the access site of an AV fistula.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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