Which three assessments must be completed on a fistula or graft?

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The selection of "Look, Listen, Feel" is significant in the context of assessing a fistula or graft used in hemodialysis. This approach emphasizes the three essential senses employed in vascular access evaluation:

Looking involves visually inspecting the access site for any signs of complications such as infection, swelling, or abnormalities in skin integrity. It's vital to ensure that the area around the fistula or graft appears healthy and free from issues that could indicate problems.

Listening refers to utilizing a stethoscope to auscultate the access site, where a characteristic "thrill" or bruit should be present. This vascular sound indicates that blood is flowing effectively through the fistula or graft, ensuring proper functionality for dialysis treatment.

Feeling encompasses palpating the access site for a thrill. The vibration felt when a patient’s fistula or graft is functioning correctly confirms that the blood flow is adequately established through the vessel.

Together, these assessments ensure that the vascular access is functioning properly and help in monitoring for any potential complications, which is crucial for patient safety and effective dialysis treatment. Other options may involve various forms of assessment, but they do not specifically focus on these essential sensory evaluations that are critical for monitoring vascular access in patients undergoing hemodialysis.

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