A patient with chronic kidney disease has an arteriovenous fistula in the left forearm. Which nursing action is appropriate?
Correct answer: C. Check for a thrill and bruit each shift
- A. Measure blood pressure on the fistula arm
- B. Apply a tight dressing over the fistula daily
- C. Check for a thrill and bruit each shift
- D. Use the fistula arm for routine venipuncture
Explanation
A palpable thrill and audible bruit indicate blood flow through the fistula. Blood pressure measurements, venipuncture, and tight clothing on that arm can impair access function and should be avoided.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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