Final answer:
The nurse should teach the patient that a fistula involves surgically attaching a vein to an artery in the arm and cannot be used 2 days after the surgery.
The correct Option is: C) One needle will be inserted into the fistula for each dialysis treatment.
Step-by-step explanation:
The patient teaching for a patient with End-Stage Kidney Disease (ESKD) who is scheduled for the creation of a fistula would include the information that a vein and an artery in the arm will be attached surgically (Option A).
This is a necessary step for hemodialysis treatment, which requires a reliable access point for blood to flow to and from the dialysis machine. It is important to inform the patient that the fistula requires time to mature before it can be used, typically several weeks to a few months. Therefore, it cannot be used for dialysis just 2 days after the surgery (Option D is incorrect).
During hemodialysis sessions, two needles are usually inserted into the fistula, one to draw blood to the dialysis machine and another to return the filtered blood to the body (Option C is slightly misleading). The arm should not be immobilized for 4 to 6 days; rather, the patient is encouraged to use the arm to promote maturation of the fistula (Option B is incorrect).