Join thousands of students who trust us to help them ace their exams!Watch the first video
Multiple Choice
A nurse is caring for a client with a hemodialysis access site. Which action should the nurse take to ensure proper functioning of the access site?
A
Administer anticoagulants directly into the access site.
B
Apply a tourniquet above the access site.
C
Check for a bruit and thrill at the access site.
D
Cover the access site with a tight bandage.
Verified step by step guidance
1
Understand the purpose of a hemodialysis access site, which is to provide a reliable and efficient way to remove waste products from the blood when the kidneys are not functioning properly.
Recognize that a bruit and thrill are indicators of proper blood flow through the access site. A bruit is a whooshing sound heard with a stethoscope, and a thrill is a vibration felt over the site.
Learn how to assess for a bruit and thrill: Place a stethoscope over the access site to listen for the bruit, and gently palpate the site to feel for the thrill.
Avoid actions that could compromise the access site, such as applying a tourniquet or covering it with a tight bandage, as these can restrict blood flow.
Understand that administering anticoagulants directly into the access site is not a standard practice for ensuring proper function and could pose risks.