Question

For each potential nursing intervention, specify if it is indicated or not indicated based on the client's status.

a. Awake and alert with palpable thrill in AVF
b. Reading a book with visible AVF access and lines secure
c. Feeling warm, nauseated, and lightheaded with decreased blood pressure

Answer 1

For each potential nursing intervention, specify if it is indicated or not indicated based on the client's status.

Step-by-step explanation:

1. a. Indicated: Awake and alert with palpable thrill in AVF - An AVF (arteriovenous fistula) is used for vascular access in patients on hemodialysis. A palpable thrill in the AVF indicates a good blood flow.
2. b. Indicated: Reading a book with visible AVF access and lines secure - Visualizing the AVF access and ensuring the lines are secure is important in monitoring for any complications or issues.
3. c. Indicated: Feeling warm, nauseated, and lightheaded with decreased blood pressure - These symptoms indicate potential hypotension or low blood pressure, and intervention is necessary to address the issue.