OT precautions for clients with kidney disease include which practice related to blood pressure measurement?

• A. Do not take blood pressure on the arm with the dialysis port
• B. Take blood pressure on the opposite arm
• C. Use a leg for blood pressure measurement
• D. Take blood pressure on the arm with the dialysis port

Answer: (A)

When a patient has a dialysis access in the arm, protecting that access from pressure is essential. A blood pressure cuff can compress the access and disrupt blood flow, increasing the risk of thrombosis, damage, or infection. Because of this, the safe and preferred practice is to measure blood pressure on the opposite arm whenever possible. Using the leg for blood pressure is not a standard substitute due to potential accuracy issues and other risks, and taking blood pressure on the arm with the dialysis access is specifically avoided to preserve the access.