Question

Patient education regarding a fistulae or graft includes which of the following? Select all that apply.

a) Cleanse site b.i.d.
b) No tight clothing.
c) Avoid compression of the site.
d) Check daily for thrill and bruit.
e) No IV or blood pressure taken on extremity with dialysis access.

Answer 1

Check daily for thrill and bruit.
Avoid compression of the site.
No IV or blood pressure taken on extremity with dialysis access.
No tight clothing.

Step-by-step explanation:

The nurse teaches the patient with fistulae or grafts to check daily for a thrill and bruit. Further teaching includes avoiding compression of the site; not permitting blood to be drawn, an IV to be inserted, or blood pressure to be taken on the extremity with the dialysis access; not to wear tight clothing, carry bags or pocketbooks on that side, and not lie on or sleep on the area. The site is not cleansed unless it is being accessed for hemodialysis.