Question

A client with an external arteriovenous shunt in place for hemodialysis is at risk for bleeding. Which is the priority nursing intervention?

Answer 1

The priority nursing intervention should be to ensure that small clamps are attached to the arteriovenous shunt dressing.

An external arteriovenous shunt is a less common type of access site, but when it is utilized, there is a danger of bleeding since the ends of the external cannula are linked after being tunneled into an artery and a vein beneath the skin.

The client could experience fast blood loss if there is an unintentional disconnect. Because of this, tiny clamps are attached to the dressing that covers the insertion site and are ready for use as required. Additionally, the shunt site needs to be examined at least every 4 hours. Look for bruit and excitement in the shunt to see whether it is functioning properly. 

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