The nurse caring for a patient who has just had an arteriovenous (AV) access created in his right forearm. Which finding(s) is/are important for the nurse to assess? (select all that apply.)
a. Presence of bruit on auscultation of the AV site
b. Capillary refill in the left hand
c. Blood pressure in the right arm
d. Adequate elevation of the right arm
e. Abdominal incision site
A, B, D
The nurse should auscultate for a bruit, assess capillary refill times in both hands, and ensure that the right arm is elevated properly. The nurse should not take the patient's blood pressure in the affected (right) arm, and this procedure does not result in an abdominal incision.
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