The patient is in progressive care unit following arteriovenous fistula implantation in his left upper arm, and is due to have blood drawn with his next set of vital signs and assessment. When the nurse assesses the patient, the nurse should:
a. draw blood from the left arm.
b. take blood pressures from the left arm.
c. start a new intravenous line in the left lower arm.
d. auscultate the left arm for a bruit and palpate for a thrill.
D
An arteriovenous fistula should be auscultated for a bruit and palpated for the presence of a thrill or buzz every 8 hours. The extremity that has a fistula or graft must never be used for drawing blood specimens, obtaining blood pressure measurements, administering intravenous therapy, or giving intramuscular injections. Such activities produce pressure changes within the altered vessels that could result in clotting or rupture.
You might also like to view...
A 242-pound client is being mechanically ventilated. To prevent lung injury, what setting should the nurse anticipate for tidal volume?
(Record your answer using a whole number.) ___ mL
A construction worker has recently suffered a deep wound to his hand as a result of an accident with a power saw
Which of the following cells will participate in the process of phagocytosis during his body's inflammatory response to this injury? Select all that apply. A) Monocytes B) Basophils C) Neutrophils D) T cells E) B cells
Name two opportunistic diseases of AIDS
What will be an ideal response?
The nurse is conducting a prenatal class for a group of pregnant women and their partners. When illustrating the various potential complications that can necessitate a cesarean delivery, which primary reason should the nurse point out?
a. Placenta Previa b. Ruptured uterus c. Nonreassuring fetal status d. preeclampsia