A patient with end-stage renal disease (ESRD) is scheduled for hemodialysis. Which of the following nursing interventions should be prioritized before initiating the dialysis session? (Select All that Apply.)

Rationale: A. This is crucial because certain medications, such as antihypertensives, antibiotics, or medications that are dialyzable, may need to be held or adjusted prior to dialysis. Reviewing the medication list prevents adverse effects and ensures safe treatment. B. Assessing the AV fistula, graft, or central venous catheter for patency, presence of thrill or bruit, and signs of infection is a high-priority intervention. Effective dialysis requires a functioning vascular access. Failure to verify this could lead to inadequate dialysis or complications. C. Generally, antihypertensive medications are held before hemodialysis because dialysis itself can lower blood pressure. Administering them prior may increase the risk of hypotension during the session. This is usually not prioritized before dialysis unless specifically ordered after assessment. D. Baseline vital signs are essential to detect hemodynamic changes during dialysis, such as hypotension or tachycardia. Monitoring before dialysis establishes a baseline and identifies conditions that may require delay or modification of the procedure. E. Informed consent is a legal and ethical requirement. Confirming that consent has been obtained ensures the patient understands the procedure, risks, and alternatives, and protects both the patient and healthcare providers.