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