Final answer:
The symptoms of steal syndrome in a hemodialysis client with a new fistula are pallor, diminished pulse, and pain. These indicate that blood is being diverted away from the extremity, leading to inadequate perfusion and ischemia which could result in significant complications if left untreated.
Step-by-step explanation:
The signs and symptoms indicating a complication related to steal syndrome in a patient with a newly created left arm fistula for hemodialysis are pallor, diminished pulse, and pain. This condition occurs when the arterial blood flow bypasses the tissues distal to the AV fistula, leading to inadequate perfusion and ischemia.
Steal syndrome is a specific complication that may follow the creation of an arteriovenous (AV) fistula for dialysis. It's caused by diverted blood flow from the distal extremity, which can be identified by a series of symptoms. The condition should be monitored carefully as it can result in significant morbidity if not addressed.
During the physical examination of a patient with a new fistula, a nurse should check the coloration of the extremity, which may appear pale if there's a perfusion issue. The pulse may be diminished or even absent due to the diverted blood flow. Pain is indicative of tissue ischemia. Unlike warmth and redness that suggest inflammation or infection, and edema and purplish discoloration that are more related to venous issues, the trio of pallor, diminished pulse, and pain are classic indicators of steal syndrome.