The nurse is planning patient teaching for a patient with ESKD who is scheduled for the creation of a fistula. The nurse would include which of the following in teaching the patient about the fistula?
A) A vein and an artery in your arm will be attached surgically.
B) The arm should be immobilized for 4 to 6 days.
C) One needle will be inserted into the fistula for each dialysis treatment.
D) The fistula can be used 2 days after the surgery for dialysis treatment.
Ans: A
Feedback:
The fistula joins an artery and a vein, either side-to-side or end-to-end. This access will need time, usually 2 to 3 months, to "mature" before it can be used. The patient is encouraged to perform exercises to increase the size of the affected vessels (e.g., squeezing a rubber ball for forearm fistulas). Two needles will be inserted into the fistula for each dialysis treatment.
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