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Dialysis Access

Questions about assessment of dialysis access

QuestionAnswer
What assessment skill would you use to assess for a bruit? Auscultation
What assessment skill would you use to assess for a thrill? Palpation
What would you teach your patient to do to prevent edema? Elevate the extremity
What would you teach your patient to do to prevent constriction of vessels? Keep the extremity straight.
Besides assessing for a bruit or thrill, what else could a nurse assess for to determine circulation? Capillary refill, existence of distal pulses, skin color, sensation, and/or movement of the extremity
What is a fistula? Direct connection between an artery and a vein
What is the difference between an AV graft and an AV fistula? A graft is created by connecting the artery and the vein with a sythetic tube. A fistula is the connection of an artery to the walls of a vein.
What is dialysis? The process of diffusing harmful waste products across a membrane to be captured and expelled as waste.
What precautions must be taken with the extremity containing a shunt? Never draw blood or take a blood pressure in the arm with an AV shunt.
Created by: trishrn01
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