hem disorders

Question 1

arterial steal syndrome
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A hemodialysis client with a left arm fistula

S/S of arterial steal syndrome

Answer 1

Edema and purpura of the left arm

Arterial steal syndrome results from vascular insufficiency after creati

Question 2

dialysis at home
+
outflow from the dialysis decreasing in amount
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ask which question first?

Answer 2

“Have you experienced any constipation recently?”

Reduced outflow from the dialysis catheter may be due to the catheter position, infection, or constipation. Constipation may contribute to a reduced outflow because peristalsis seems to aid in drainage. Options 1, 2, and 4 are unrelated to the causes of reduced outflow from the dialysis catheter.

Question 3

probable signs of pregnancy

Answer 3

Ballottement
Chadwick’s sign
Uterine enlargement
Braxton Hicks contractions

The probable signs of pregnancy include uterine enlargement; Hegar’s sig

The probable signs of pregnancy include uterine enlargement; Hegar’s sign (the compressibility and softening of the lower uterine segment that occurs at about week 6); Goodell’s sign (the softening of the cervix that occurs at the beginning of the second month of pregnancy); Chadwick’s sign (the violet coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at about week 4); ballottement (the rebounding of the fetus against the examiner’s fingers on palpation); Braxton Hicks contractions; and a positive pregnancy test that measures for human chorionic gonadotropin. Positive signs of pregnancy include a fetal heart rate that is detected by an electronic device (Doppler transducer) at 10 to 12 weeks’ gestation and by a nonelectronic device (fetoscope) at 20 weeks’ gestation; active fetal movements that are palpable by the examiner; and an outline of the fetus via radiography or ultrasound.