Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The nurse is assessing the patient who will be receiving dialysis later in the day. What assessment can the nurse do to evaluate the patency of the patient’s graft site where dialysis will be accessed?
  1. Look at the x-ray that was done earlier in the morning
  2. Listen for the presence of a bruit and thrill over the graft site
  3. Monitor the platelet and Prothrombin time on the morning lab draw
  4. Ask the patient if there has been any swelling around the graft site
Explanation
Answer: B - To assess the patency of the patient’s graft site, the nurse would assess for the presence of a bruit and a thrill using the stethoscope over the graft site. A major concern for dialysis patients is the loss of vascular access. Anticoagulants administered during dialysis can help prevent this from happening.
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