A Nurse Is Caring for a Patient with an Atrioventricular

question 19

Multiple Choice

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.

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