Question

A patient with chronic kidney disease has been hospitalized and is receiving hemodialysis on a scheduled basis. The nurse should include which of the following actions in the plan of care?

A) Ensure that the patient moves the extremity with the vascular access site as little as possible.
B) Change the dressing over the vascular access site at least every 12 hours.
C) Utilize the vascular access site for infusion of IV fluids.
D) Assess for a thrill or bruit over the vascular access site each shift.

Answer 1

The nurse should ensure minimal movement of the extremity with the vascular access site and assess for a thrill or bruit over the site each shift when caring for a patient with chronic kidney disease receiving hemodialysis.

The Correct Option is; D) Assess for a thrill or bruit over the vascular access site each shift.

Step-by-step explanation:

The nurse should include the following actions in the plan of care for a patient with chronic kidney disease receiving hemodialysis:

1. Ensure that the patient moves the extremity with the vascular access site as little as possible. The vascular access site should be kept immobilized to prevent any accidental dislodgement or damage.
2. Assess for a thrill or bruit over the vascular access site each shift. A thrill or bruit indicates adequate blood flow through the access site and is important to monitor for any complications.

Changing the dressing over the vascular access site is important, but it doesn't need to be done every 12 hours. The frequency of dressing change depends on the policy of the healthcare facility and the condition of the access site. Utilizing the vascular access site for infusion of IV fluids is not recommended because it can increase the risk of infection.