Which measure would be appropriate for the nurse to take in caring for a client with chronic renal failure receiving dialysis via a right arm fistula?
A. Take the client's blood pressure in both arms.
B. Take the client's blood pressure in the left arm only.
C. Place the right arm in a sling to protect it from injury.
D. Have the client perform active ROM arm exercises to aid blood flow to the fistu-la.
B
The blood pressure should be taken in the left arm only to prevent occlusion of the dialysis fistu-la.
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