Cleansing Of Hemodialysis Arteriovenous Fistula "Buttonhole" Sites

7 Questions | Total Attempts: 100

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Cleansing Of Hemodialysis Arteriovenous Fistula "Buttonhole" Sites - Quiz

This quiz should be completed following review of the Procedure for "Cleansing of Hemodialysis Arteriovenous Fistula 'Buttonhole' Sites"


Questions and Answers
  • 1. 
    The preferred cleansing solution for buttonhole cannulation sites is,
    • A. 

      Providone 1%

    • B. 

      Chlorhexidine 2%

    • C. 

      Chlorhexidine 4%

    • D. 

      Alcohol

  • 2. 
    The correct sequence of events prior to buttonhole site scab removal is,
    • A. 

      Don face shield, soak sites, cleanse sites, wash hands, don gloves.

    • B. 

      Soak sites, cleanse sites, wash hands, don face shield, don gloves.

    • C. 

      Don face shield, wash hands, don gloves, cleanse sites, soak sites.

    • D. 

      None of the above

  • 3. 
    It is preferred that scabs covering the buttonhole sites are removed,
    • A. 

      Carefully with a sharp sterile needle.

    • B. 

      Carefully with a dull sterile needle.

    • C. 

      Carefully with tweezers.

    • D. 

      By applying friction with a gauze when cleansing.

  • 4. 
    Each scab should be removed with,
    • A. 

      The same sterile needle for both sites.

    • B. 

      A separate dull sterile needle for each site.

    • C. 

      A separate clean gauze for each site during the cleansing step.

    • D. 

      The same tweezers for both sites

  • 5. 
    Following scab removal the buttonhole sites should be,
    • A. 

      Recleansed.

    • B. 

      Cannulated.

    • C. 

      Visualized with the portable ultrasound.

    • D. 

      Palpated.

  • 6. 
    If a patient cleans their own buttonhole sites and removes the scabs but does not self cannulate the cannulator should,
    • A. 

      Continue with cannulation after the patient has cleaned the sites.

    • B. 

      Recleanse the sites then proceed with cannulation.

    • C. 

      Instruct the patient on how to self cannulate.

    • D. 

      None of the above.

  • 7. 
    When the needles have been removed and hemostasis has occurred,
    • A. 

      Gauze should be placed over the cannulation sites.

    • B. 

      The sites should be cleansed then covered with gauze.

    • C. 

      Polysporin ointment should be applied to the gauze then to the cannulation sites.

    • D. 

      The sites should be left open to air to promote healing.

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