{"id":4189,"date":"2024-09-04T20:29:11","date_gmt":"2024-09-04T20:29:11","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4189"},"modified":"2026-03-20T13:50:46","modified_gmt":"2026-03-20T21:50:46","slug":"nclex-qotd-av-fistula","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: AV fistula"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula\/#Incorrect_answer_explanation\" >Incorrect answer explanation<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula\/#F_Palpating_over_the_AV_fistula_site\" >F.&nbsp;Palpating over the AV fistula site&nbsp;<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Prepare for your NCLEX-RN exam with this question on caring for a client with an arteriovenous (AV) fistula for dialysis. Learn essential precautions and nursing interventions to ensure the fistula remains functional and safe for the patient.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the medical unit is caring for a client who had an arteriovenous (AV) fistula placed in their left upper extremity for dialysis 24-hours ago. Which activity(ies) should be avoided in\/on the affected extremity?&nbsp;<strong>Select all that apply.&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;Having blood drawn<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Wearing tight jewelry&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;Sleeping on the affected extremity&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Carrying heavy items&nbsp;&nbsp;<\/strong><strong>E.&nbsp;Wearing tight shirt sleeves<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>F.&nbsp;Palpating over the AV fistula site&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><strong>G.&nbsp;Having blood pressure taken<\/strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.\u00a0Having blood drawn<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Having blood drawn from the extremity with an AV fistula should be avoided to avoid damage to the fistula.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.\u00a0Wearing tight jewelry<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Wearing tight jewelry on the extremity with an AV fistula should be avoided to prevent damage to the fistula.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.\u00a0Sleeping on the affected extremity\u00a0<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Sleeping on the side of an extremity with an AV fistula should be avoided to prevent damage to the fistula.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.\u00a0Carrying heavy items\u00a0\u00a0<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Carrying heavy items with the extremity that has an AV fistula should be avoided to prevent damage to the fistula.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E.\u00a0Wearing tight shirt sleeves<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Wearing tight shirt sleeves on the extremity with an AV fistula should be avoided to prevent damage to the fistula.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>G.\u00a0Having blood pressure taken<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Having blood pressure taken from the extremity with an AV fistula should be avoided to prevent damage to the fistula.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse caring for the client with an arteriovenous (AV) fistula as their dialysis access site should teach them how to care for it. The nurse should instruct them to avoid tight clothes or jewelry on the extremity that has the fistula or graft, and to avoid activities that compress the extremity, such as carrying heavy items or sleeping on the affected side. Additionally, the nurse should remind the client that they should not have blood drawn or blood pressure taken from the extremity. The nurse should also teach them how to feel for a vibration, called a thrill, over the access site, and explain that a thrill means the access site is intact and working.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"978\" height=\"502\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site-1.png\" alt=\"\" class=\"wp-image-4192\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site-1.png 978w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site-1.png?resize=300,154 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site-1.png?resize=768,394 768w\" sizes=\"auto, (max-width: 978px) 100vw, 978px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"980\" height=\"514\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site.png\" alt=\"\" class=\"wp-image-4191\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site.png 980w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site.png?resize=300,157 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/how-to-care-for-access-site.png?resize=768,403 768w\" sizes=\"auto, (max-width: 980px) 100vw, 980px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanation\"><\/span>Incorrect answer explanation<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"F_Palpating_over_the_AV_fistula_site\"><\/span>F.&nbsp;Palpating over the AV fistula site&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:\u00a0<\/strong>Feeling, or palpating, for a thrill and bruit is a recommended activity for a client with an AV fistula. This helps ensure the fistula is functioning.\u00a0<strong><em> <\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_a82cbc.png?w=904\" alt=\"\" class=\"wp-image-4040\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_a82cbc.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_a82cbc.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_a82cbc.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prepare for your NCLEX-RN exam with this question on caring for a client with an arteriovenous (AV) fistula for dialysis. Learn essential precautions and nursing interventions to ensure the fistula remains functional and safe for the patient. The nurse in the medical unit is caring for a client who had an arteriovenous (AV) fistula placed [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":4190,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-4189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: AV fistula - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-av-fistula\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: AV fistula - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prepare for your NCLEX-RN exam with this question on caring for a client with an arteriovenous (AV) fistula for dialysis. Learn essential precautions and nursing interventions to ensure the fistula remains functional and safe for the patient. 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