Instruct the client not to carry heavy objects or anything that compresses the extremity.

Avoid taking blood pressure or performing venipuncture in the extremity.

Palpate for thrills and auscultate for a bruit every shift.

Check for bleeding and infection at hemodialysis needle insertion site.

Assess pulses and circulation proximal to the fistula.

Instruct the client not to sleep in a position that places her or his body weight on top of the extremity.