Certified Dialysis Nurse Practice Test 2025 - Free Dialysis Nurse Practice Questions and Study Guide

The vascular health of the patient is critical in determining the type of dialysis access because it directly impacts the suitability and effectiveness of various access options. When planning for dialysis access, healthcare providers examine the condition of the patient's blood vessels, as optimal vascular health is necessary for creating a successful access point.

For example, arteriovenous fistulas (AVF), which are considered the gold standard for dialysis access, require healthy veins and arteries for proper creation and function. If a patient's vascular system is compromised due to conditions like atherosclerosis or previous vascular surgeries, alternative access methods like central venous catheters or grafts may be necessary.

While patient age, medical history, and weight can influence a provider's approach to care, the state of the vascular system is the primary consideration in determining the most appropriate and long-lasting type of dialysis access. This ensures that the access can function effectively throughout the patient's treatment.