Renal NCLEX Exam with Questions and Solutions

Renal NCLEX Exam with Questions and Solutions A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What do you do to prevent complications associated with this device? 1. Insert I.V. lines above the fistula. 2. Avoid taking blood pressures in the arm with the fistula. 3. Palpate pulses above the fistula. 4. Report a bruit or thrill over the fistula to the doctor. ANSWER 2. Avoid taking blood pressures in the arm with the fistula. Don't take blood pressure readings in the arm with the fistula because the compression could damage the fistula. Option A: IV lines shouldn't be inserted in the arm used for hemodialysis. Option C: Palpate pulses below the fistula. Option D: Lack of bruit or thrill should be reported to the doctor. Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect? 1. Infection 2. Disequilibrium syndrome 3. Air embolus 4. Acute hemolysis ANSWER 2. Disequilibrium syndrome