Question

48 of 50
the nurse is assessing a clients arteriovenous fistula being used for hemodialysis. which findings would prompt the nurse to notify the physician immediately? select all that apply.
rationale, strategy, reference, tip
answer options
1 no thrill palpated at fistula site
2 no bruit auscultated at the fistula site
3 dialysis treatment lasting longer than 3 hours
4 absent pulse distal to the arteriovenous fistula
5 fistula site transparent dressing last changed 8 days ago

Explanation:

A thrill and bruit are normal findings indicating patency of an arteriovenous fistula for hemodialysis. Absence of a thrill (1) and bruit (2) may suggest occlusion. An absent pulse distal to the fistula (4) could indicate compromised circulation. Dialysis duration (3) and dressing - change time (5) are not immediate concerns compared to the others.

Answer:

1. No thrill palpated at fistula site
2. No bruit auscultated at the fistula site
3. Absent pulse distal to the arteriovenous fistula