Bissoy.com
Doctors Medicines MCQs Q&A

  1. Call to dialysis room and ask dialysis nurse for help
  2. Check blood pressure immediately
  3. Immediately apply pressure on bleeding site with sterile gauze 
  4. Inform the doctor
5 views

1 Answers

Option 3 : Immediately apply pressure on bleeding site with sterile gauze 

Concept:

  • Dialysis -> A procedure used to remove waste products and excess fluid from blood when kidneys stop working.
  • Dialysis sheath insertion is done for this procedure to get vascular access.
  • Bleeding can happen from sheath site due too:
    • Anti coagulation
    • Poor platelet function
    • Trauma to the vessel
    • Improper capping

Explanation:

  • Nursing management of sheath site bleeding in dialysis:
    • Apply firm pressure over the exact bleeding site with sterile gauze (Priority action).
    • It should be done at least for 10 minutes before checking bleed site.
    • When bleeding stops apply gauze and tape.
    • If bleeding restarts continue to apply pressure and get help from other staff.

  • Calling to dialysis room and asking for help, checking blood pressure, informing doctor are secondary actions.
  • It should be done if bleeding restarts after applying pressure for 10 minutes.
5 views

Related Questions

In the question below is given a statement followed by two courses of actions numbered I and II. A course of action is a step or administrative decision to be taken for improvement, follow-up or further action in regard to the problem, policy, etc. On the basis of the information given in the statement to be true, then decide which of the suggested courses of action logically follow(s) for pursuing. Statement: The wastage of water is discouraged by all the nations across the globe. The water table is depleting and it is claimed that by 2050, there will be an acute shortage of water. Measures to harvest rainwater are being encouraged.  Courses of action: I. The amount of water to be used in households should be limited by all governments.  II. All domestic households should be advised to install rainwater harvesting systems and reuse of water should be promoted.?
1 Answers 5 Views