When assessing the client with an atrioventricular fistula used for hemodialysis, the nurse notes absence of bruit and thrill. The nurse's priority action is to:
1. Do nothing, as this is a normal finding.
2. Compare the blood pressure readings in both arms.
3. Call the physician and notify him of these findings.
4. Have the client exercise and do a reassessment.
3
Rationale: Absence of bruit and thrill is a significant finding that should be reported to the physician because it indicates possible damage and failure of the AV fistula. Blood pressure should not be obtained in an arm with an AV fistula.
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