Questions 89

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ATI Med Surg Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Correct Answer: D

Rationale: Auscultating for a bruit confirms AV graft patency. Blood pressure, pulse checks, and Doppler are not standard methods.

Question 2 of 5

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Correct Answer: C,D,E

Rationale: Adequate fluids (
C), completing antibiotics (
D), and front-to-back wiping (E) prevent pyelonephritis. Excessive bathing and douching increase risk.

Question 3 of 5

A nurse is caring for a client who has end-stage kidney disease and will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact their quality of life? (Select all that apply.)

Correct Answer: B,D,E

Rationale: Dietary restrictions (
B), time constraints (
D), and fluid restrictions (E) impact quality of life in hemodialysis. Driving, travel, and social limits are not standard.

Question 4 of 5

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)

Correct Answer: A,C,E

Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).

Question 5 of 5

A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

Correct Answer: C

Rationale: Dialysis disequilibrium syndrome, common after initial hemodialysis, causes headache, nausea, and restlessness. Air embolism, septicemia, and peritonitis have different symptoms.

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