A patient with end-stage renal disease is scheduled for a fistula creation. 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 weeks.
C) One needle will be inserted into the fistula for each dialysis treatment.
D) The fistula can be used immediately 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. The fistula requires 4 to 5 weeks to mature, and the patient is encouraged to perform exercises to increase the size of the affected vessels (eg, squeezing a rubber ball for forearm fistulas). Two needles will be inserted into the fistula for each dialysis treatment.
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