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The nurse is caring for a client in end-stage renal disease with an arteriovenous dialysis access. What assessment by the nurse indicates patency of the access?

Select All That Apply:
1. Presence of a bruit
2. Warm and dry skin
3. Presence of a thrill
4. Positive Trousseau's sign
5. Capillary refill within 3 seconds



Answer :

GinnyAnswer

Final answer:

The assessment of patency in arteriovenous dialysis access involves specific indicators such as bruit and thrill.


Explanation:

Assessment of patency of an arteriovenous dialysis access involves several indicators:

  1. Presence of bruit: Listening for the hum sound indicates blood flow.
  2. Presence of a thrill: Feeling vibrations against the fingers shows blood flow.
  3. Warm and dry skin, positive for Trousseau's: These are not direct indicators of patency.

Capillary refill within 3 seconds is more related to peripheral perfusion, not dialysis access patency.


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