The nurse creates a care plan for a client receiving hemodialysis through an arteriovenous (AV) fistula in the right arm. The nurse will include which interventions to protect the AV fistula from injury? Select all that apply.

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.