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    Med surg proctored exam( neurorenaldiabetic)

    Your patient has an AV graft in their left arm for dialysis. Which of the following is true regarding the AV graft?

    Explanation & Rationale

    A. This is used more commonly than an AV fistula is incorrect because AV fistulas are preferred over AV grafts for long-term hemodialysis due to lower infection rates and longer patency. AV grafts are generally used when a patient’s vasculature is not suitable for a fistula. B. This is more likely to become infected when compared to an AV fistula is correct because AV grafts involve synthetic material that connects an artery and vein. The presence of synthetic material increases the risk of infection compared to a native AV fistula. Additionally, grafts are more prone to thrombosis and stenosis. C. This is a temporary access site is incorrect because AV grafts are considered semi-permanent access sites. Temporary access is typically established with a central venous catheter. Grafts are intended for repeated use over months to years, although they have a shorter lifespan than fistulas. D. Patient cannot be discharged home with an AV graft is incorrect because patients with AV grafts can safely go home and perform regular daily activities. Proper education on infection prevention, graft care, and monitoring for complications is essential, but hospitalization is not required solely because of the graft.

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