Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
Medical HistoryVital Signs
Laboratory Findings
The client reports a 24-hour history of fever, chills, weakness, and feeling really bad. The clientÔÇÖs extremities follow simple commands. There is warmth and edema. The client reports pain when the arm is touched. Thrill and bruit are present. Radial pulses are palpable. The client reports no numbness and tingling to the right hand.
The nurse is reviewing the client's findings. The client is at the highest risk for developing..... due to........
Correct answer
A,G
Rationale
Fever, chills, weakness, and warmth/edema at the AVF site indicate a high risk for sepsis due to infection, a common complication of vascular access sites.