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.
Ans: D
Feedback:
The bruit, or "thrill," over the venous access site must be evaluated at least every shift. Frequent dressing changes are unnecessary and the patient does not normally need to immobilize the site. The site must not be used for purposes other than dialysis.
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