Exam 4: NU 185 NU185 Latest

Exam 4: NU 185 / NU185 (Latest

Update 2025 / 2026) Medical- Surgical Nursing II | Review Questions with Verified Answers | Grade A | 100% Correct - Galen

Question:

When You First Leave the Hospital, You may have a little redness or swelling

around your access site for the first few days. If you have a fistula or graft:

*Renal

Answer:

-Prop your arm on pillows and keep your elbow straight to reduce swelling.

-You can use your arm after you get home from surgery. But, DO NOT lift more than 10 pounds (lb) (about a gallon of milk).

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Question:

When You First Leave the Hospital, Taking care of the dressing (bandage):

*Renal

Answer:

-If you have a graft or fistula, keep the dressing dry for the first 2 days. You can bathe or shower as usual after the dressing is removed.-If you have a central venous catheter, you must keep the dressing dry at all times. Cover it with plastic when you shower.-DO NOT take baths, go swimming, or soak in a hot tub. -DO NOT let anyone draw blood from your catheter.

Question:

Problems to Watch For w/ Vascular Access for Hemodialysis *Renal

Answer:

-Grafts and catheters are more likely than fistulas to become infected. Signs of infection are redness, swelling, soreness, pain, warmth, pus around the site, and fever.-Blood clots may form and block the flow of blood through the access site.Grafts and catheters are more likely than fistulas to clot.-The blood vessels in your graft or fistula can become narrow and slow down the flow of blood through the access. This is called stenosis.

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Question:

Following these guidelines will help you avoid infection, blood clots, and other problems with your vascular access. *Renal

Answer:

-Always wash your hands with soap and warm water before and after touching your access. Clean the area around the access with antibacterial soap or rubbing alcohol before your dialysis treatments.-Check the pulse (also called thrill) in your access every day. Your healthcare provider will show you how.-Change where the needle goes into your fistula or graft for each dialysis treatment.-DO NOT let anyone take your blood pressure, start an IV (intravenous line), or draw blood from your access arm.-DO NOT let anyone draw blood from your tunneled central venous catheter.-DO NOT sleep on your access arm.-DO NOT carry more than 10 lb with your access arm.-DO NOT wear a watch, jewelry, or tight clothes over your access site.-Be careful not to bump or cut your access.-Use your access only for dialysis.

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Question:

Call your provider right away if you notice any of these problems w/ your Vascular Access *Renal

Answer:

-Bleeding from your vascular access site -Signs of infection, such as redness, swelling, soreness, pain, warmth, or pus around the site -A fever 100.3°F (38.0°C) or higher -The pulse (thrill) in your graft or fistula slows down or you do not feel it at all -The arm where your catheter is placed swells and the hand on that side feels cold -Your hand gets cold, numb or weak

Question:

Phases of Abuse *Renal

Answer:

-Acute intoxication -Acute withdrawal -Effects of long term abus

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