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

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GinnyAnswer GinnyAnswer · Answer 1 · 2024-07-26T15:04:23-04:00

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

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

Presence of bruit: Listening for the hum sound indicates blood flow.
Presence of a thrill: Feeling vibrations against the fingers shows blood flow.
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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