Question

A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?

a) Palpate for warmth and tenderness over the fistula site
b) Auscultate for a bruit and palpate for a thrill over the fistula
c) Measure blood pressure in both arms simultaneously
d) Inspect the fistula site for signs of infection

Answer 1

To assess the patency of an arteriovenous fistula for hemodialysis, the nurse should auscultate for a bruit and palpate for a thrill over the fistula site.

Step-by-step explanation:

To assess the patency of an arteriovenous fistula used for hemodialysis, the nurse should auscultate for a bruit and palpate for a thrill over the fistula site. A bruit is a humming sound heard over the fistula, indicating blood flow through the vessel, and a thrill is a vibrating sensation felt over the fistula, indicating the presence of arterial blood flow. These assessments help determine if the fistula is patent and functioning properly.