The nurse is collecting data from a patient with a vascular access graft in the right arm for dialysis. What should the nurse do when assessing this patient? (Select all that apply.)
a. Auscultate for a bruit over the site.
b. Palpate for a thrill in the right arm.
c. Observe the tubing for bright red blood.
d. Feel for a brachial pulse on the affected arm.
e. Redress the arm daily, keeping the site sterile at all times.
ANS: A, B
Arteriovenous grafts are checked for patency by palpating for a thrill (a tremor) and auscultating for a bruit (swishing sound) at the site of the graft or fistula. C. The graft is under the skin so there is no tubing. D. The distal radial pulse should be checked. E. There is no dressing over the site.
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