After hemodialysis, a patient’s arteriovenous fistula site continues to ooze blood. Which action should the nurse take first?
Correct answer: A. Apply gentle continuous pressure with sterile gauze
- A. Apply gentle continuous pressure with sterile gauze
- B. Place an ice pack directly over the fistula site
- C. Clean the site vigorously with an antiseptic solution
- D. Apply a tight circumferential bandage around the arm
Explanation
Gentle continuous pressure controls bleeding while avoiding impairment of fistula circulation. A tight bandage or direct pressure that is excessive can obstruct the access, and vigorous cleaning can restart bleeding.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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