HD 3

A HD has a newly created left arm fistula. Which of the following sins and symptoms that indicate steal syndrome?

• Edema and purplish discoloration

• Pain, pallor and edema

• Warmth, redness and pain

• Pallor, weak pulse and pain

CKD patient has a low erythropoietin level. The patient is at risk for

• Hypercalcemia

• Blood clots

• Hyperkalemia

• Anemia

A patient complaint of chest discomfort before hemodialysis. You had perform ECG and show tall T wave. The blood test result that confirm the ECG abnormality is

• Phosphate 3.2mmol/L

• Calcium 1.1 mmol/L

• Magnesium 2.2mmol/L

• Potassium 7.0mmol/L

Which of the following measure in care of patient with AVF?

• Assess the fistula for presence of bruit and thrill

• Ensure all the small clamps are attached to the AV fistula dressing

• Use the fistula for all venepuncture and infusion

• Take blood pressure on the AVF arm only

A HD patient suddenly becomes shortness of breath and complaints of chest pain. The patient suspects an air embolism. The nursing intervention is

• Monitor vital sign every 15 min for 1 hour

• Continue hemodialysis using slower rate after expel all air in blood line

• Infuse 500mls of normal saline to break up the air embolus

• Discontinue the dialysis and inform doctor