Question

The nurse knows that graft access sites present complications for the dialysis patient.

9. What are the two most common complications of a dialysis graft access?

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After Ethan’s dialysis treatment, his blood pressure decreased to 140/88 and the pitting edema in his lower extremities was alleviated.

10. What is included in the aftercare by the nurse?

Select all that apply

❑ Monitor vascular access site for bleeding

❑ Auscultate the thrill and palpate the bruit

❑ Auscultate the bruit and palpate the thrill

❑ Vascular access site only used for treatment

❑ How to apply a dressing to graft site if bleeding occurs

11. Ethan is being prepared for discharge to home. The nurse knows that Ethan needs

further discharge instructions with this statement:

A. “I will keep my graft site clean and dry.”

B. “I will notify the primary care provider if I have swelling, redness, or drainage

at my graft site.”

C. “I can take my blood pressure in the same arm as my graft site.”

D. “I must avoid excessive pressure on my graft arm site.”

Answer 1

9. The two most common complications of dialysis graft access are Thrombosis and Infection. This happens because the fistula attached to the vein and artery may offer a rather aseptic area which can cause infection to the site. Also, the endothelium offers antithrombotic action in hemostasis, but when the wall of the endothelium gets damaged, a hemostatic reaction is initiated and a thrombus is formed.

10. Aftercare includes Auscultate the brut and palpates the thrill, monitor vascular access site for bleeding, and how to apply a dressing to graft if bleeding occurs.

11. The most suitable answer would be A)I will keep my graft site clean and dry and, B) I will notify the primary care provider if I have swelling, redness, or drainage at my graft site