NCLEX-RN · Question #578
A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:
The correct answer is B. Auscultate the site for a bruit. (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…
Question
A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:
Options
- AAssess the site for leakage of blood or fluids
- BAuscultate the site for a bruit
- CAssess the site for bruising or hematoma
- DInspect the site for color, warmth, and sensation
How the community answered
(37 responses)- A5% (2)
- B92% (34)
- D3% (1)
Explanation
(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.
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