Question

The nurse is assessing a client with an AV fistula who has been receiving hemodialysis for 2 years. The nurse auscultates a bruit over the site of the client’s fistula. What action should the nurse take in response to this finding?

a.Document the finding in the electronic medical record
b.Compare the blood pressure readings in both arms
c.Contact the dialysis unit to reschedule the next treatment
d.Elevate the affected arm on two pillows immediately

Answer 1

The nurse should document the finding of a bruit over the site of the client's AV fistula in the electronic medical record.

Step-by-step explanation:

The nurse should document the finding of a bruit over the site of the client's AV fistula in the electronic medical record.

A bruit is a abnormal sound caused by turbulent blood flow, and its presence indicates the functioning of the fistula. It is a positive finding and does not require any immediate action.