A nurse is caring for a patient with an atrioventricular (AV) fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula. What action should the nurse implement?
a. Inject the ordered amount of heparin into the fistula.
b. Apply warm compresses and lower the arm below the heart level.
c. Send the patient to dialysis for remedy.
d. Report to the charge nurse that the fistula is occluded.
D
If the trill is absent, the fistula is occluded and should be reported. Dialysis is not possible with the occlusion. Injecting the shunt is not in the scope of practice of the licensed practical nurse (LPN). Warm compresses are not helpful.
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Which of the following is part of common or concerning symptoms for the peripheral vascular system?
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