Question

A nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis through an internal AV fistula in the RA. Which intervention should the nurse implement in caring for the client? SATA

a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three each shift
e. Placing a pressure dressing over the site after each dialysis treatment
f. Administering IV fluids through the venous site of the AV fistula as needed

Answer 1

The nurse should assess the AV fistula, draw blood specimens from the opposite arm, and place a pressure dressing after dialysis.

Step-by-step explanation:

In caring for a client with chronic renal failure undergoing hemodialysis through an internal AV fistula in the RA, the nurse should implement the following interventions:

1. Assessing the area over the AV fistula for a bruit and thrill, which indicates proper function and patency of the fistula.
2. Drawing pre-dialysis blood specimens from the LA, which is the opposite arm from the AV fistula to avoid any contamination.
3. Placing a pressure dressing over the site after each dialysis treatment to prevent bleeding and ensure healing.