Where should the blood pressure cuff be placed on a client with a dialysis access fistula in the right arm?

In the context of a dialysis access fistula, it is crucial to avoid placing the blood pressure cuff over or near the fistula to prevent complications and ensure the integrity of the access site. The best practice is to take blood pressure readings on the arm opposite the fistula, which in this case would be the left arm. This method avoids any potential damage to the fistula while also providing an accurate assessment of the blood pressure.

When the cuff is placed directly over the fistula or in close proximity to it, there is an increased risk of creating turbulence or obstructing blood flow, which can compromise the effectiveness of the dialysis access. Moreover, taking a blood pressure reading below or above the fistula could lead to misleading results and might place undue stress on the vascular access.

Thus, using the left arm is the safest and most appropriate choice for measuring blood pressure in a client with a dialysis access fistula in the right arm.