Question

6. What is generally the fi rst sign of renal dysfunction in a diabetic patient?

A. Proteinuria

B. Hyperkalemia

C. Hyperparathyroidism

D. Wilms’s tumor

Ethan stated that he missed his dialysis treatment on Friday. The doctor has called the on-call dialysis nurse to administer dialysis.

7. What are some acute complications that may occur during Ethan’s treatment?

❑ Muscle cramps

❑ Angina

❑ Hypotension

❑ Arrhythmias

❑ Cardiac arrest

❑ Bowel perforation

The dialysis nurse must assess the graft for a thrill and bruit before beginning the treatment.

8. Why must the nurse assess the graft for a thrill and bruit?

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Answer 1

6. First sign of renal dysfunction is proteinuria, in diavetic patient

7.acute complications:( arranged according to decreasing frequency)

1.hypotension

2.muscle cramps

3.angina

4 arrythmia

5.cardiac arrest

8. The nurse should assess the blood flowing through the graft , thrill ( vibration to touch) is an important indicator of the functioning of graft, it should be president at the arterial anastomosis. Bruit is the sound heard ( perception through ear) of blood flowing through the graft.

If bruit and thrill is present indicates graft is patent.