A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?

Post-hemodialysis care requires monitoring for fluid and electrolyte shifts. The nurse must apply knowledge of dialysis disequilibrium syndrome and normal fistula function to identify life-threatening neurological changes that differ from expected cardiovascular stability or normal mechanical thrills at the access site. Choice A rationale A palpable thrill is a normal and expected finding in a functioning arteriovenous fistula. It indicates adequate blood flow through the surgical anastomosis. Its absence, rather than presence, would be a reason for concern. Choice B rationale Headache and restlessness are early clinical manifestations of dialysis disequilibrium syndrome. This occurs due to rapid solute removal and cerebral edema. The provider must be notified immediately to prevent progression to seizures or coma. Choice C rationale A heart rate of 65 bpm falls within the normal adult physiological range of 60 to 100 bpm. This finding indicates hemodynamic stability following the dialysis session and does not require an immediate report to the provider. Choice D rationale A blood pressure of 134/82 mm Hg is near the target range for many dialysis patients. While slightly elevated, it does not represent an acute hypertensive crisis or significant hypotension requiring an emergency medical intervention.