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A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:
Suggested Answer: B
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(A) This is an internal device. Assessment of the site should include assessing for swelling, pain, warmth, and discoloration. This measure does not assess patency. (B) The presence of a bruit indicates good blood flow through the device. (C) The nurse should inspect the site for bruising or hematoma; however, this measure does not assure patency of the device. (D) The nurse should inspect the vascular access site frequently for signs of infection. However, this does not assure patency.
24 comments · newest first
CA
Carmen
10 months ago
Bruit is the way to go, no doubt about it!
CA
Catherin
10 months ago
Wait, isn't bruising a sign of something wrong?
HE
Heike
10 months ago
I thought assessing for leakage was key too.
FR
France
10 months ago
Definitely check for color and warmth as well!
CH
Chery
11 months ago
Gotta auscultate for that bruit! Super important.
PA
Paris
11 months ago
I feel like inspecting for color and warmth is also important, but I can't recall if that directly relates to patency.
MA
Malika
11 months ago
I practiced a similar question where we had to determine the best way to assess an AV fistula. I think auscultating for a bruit was the answer there too.
KI
Kindra
11 months ago
I'm not entirely sure, but I feel like assessing for leakage might be more about complications rather than patency.
AN
Anna
12 months ago
I remember we talked about checking for a bruit to assess the patency of the vascular access. I think that's important, right?
EL
Ellsworth
12 months ago
I'm feeling a little lost on this one. There are a few different things we could check, like auscultating for a bruit or just doing a general assessment of the site. I'll have to think this through carefully before making a decision.
BU
Burma
12 months ago
Okay, I've got this. The key is to monitor the site for any signs of complications, like bruising, hematoma, or changes in color, warmth, and sensation. I'll go with option D to cover all those bases.
LA
Lai
1 year ago
Hmm, I'm a bit unsure here. I know we need to ensure the device is working properly, but I'm not sure if assessing for leakage is the best approach. Maybe I should consider the other options as well.
VA
Vallie
1 year ago
This seems like a straightforward question about maintaining the patency of a vascular access device. I think I'll go with option A - assessing the site for any leakage of blood or fluids.
SC
Scarlet
1 year ago
I'm not sure, but I think it might also be D) Inspect the site for color, warmth, and sensation to ensure there are no complications.
AL
Alpha
1 year ago
Ha! Checking for a bruit? What is this, a medical mystery novel? I'll go with C - checking for bruising or hematoma seems like the most practical option.
HA
Haley
1 year ago
Hmm, I think B. Auscultating for a bruit is a good way to check for any vascular issues with the device.
TE
Tess
1 year ago
I'd say D. Inspecting the site for color, warmth, and sensation gives a more comprehensive assessment of the device's condition.
TY
Tyisha
1 year ago
I agree with Anglea. Checking for a bruit is important to ensure proper blood flow.
CH
Chi
1 year ago
Definitely A. Checking for leakage is crucial to ensure the device is functioning properly and to prevent complications.
MI
Micah
1 year ago
User 4: Inspecting the site for color, warmth, and sensation is important too to monitor for any signs of infection.
PE
Peggie
1 year ago
User 3: Auscultating the site for a bruit is also necessary to check for proper blood flow.
TI
Timmy
1 year ago
User 2: Yes, that's important to make sure the device is working properly.
CE
Celestina
1 year ago
User 1: I think we should assess the site for leakage of blood or fluids.
AN
Anglea
1 year ago
I think the answer is B) Auscultate the site for a bruit.