A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that apply)

Assess fingers on the left arm for warmth

Wear wristwatch on the right arm

Avoid sleeping on the left arm

Remind the health care providers to draw blood from veins on the left side

Obtain blood pressure from the left arm

Answer and Explanation

Correct Answer : A,B,C

A. Monitoring for warmth in the fingers of the left arm is important to assess for proper circulation through the arteriovenous fistula.

B. Wearing a wristwatch on the right arm prevents putting pressure on the left arm, where the fistula is located, which could affect its function.

C. Avoiding sleeping on the left arm helps prevent pressure on the fistula and reduces the risk of complications.

D. Blood should not be drawn from the left arm with the fistula as it could damage the fistula.

E. Blood pressure should not be taken from the left arm to avoid disrupting the fistula's function.

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Correct Answer is ["A","B","E"]

Explanation

A. The amount of irrigation fluid used must be added to the total output to accurately calculate fluid balance.

B. Bright red urine or large clots may indicate bleeding, which should be reported to the surgeon immediately.

C. Irrigation solution preparation does not require sterile technique; clean technique is sufficient for this task.

D. A continual need to void could be a normal post-op symptom, but if it persists or is severe, it should be investigated.

E. Ensuring the drainage tubing is patent and unobstructed is essential for proper urine flow and preventing complications.

A. Hematuria B. Weight loss C. Hypertension D. Increased urine output

Correct Answer is C

Explanation

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

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A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that apply)

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