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Zorluk: KolayReduction of Risk Potential

Following a right femoral cardiac catheterization, a client is admitted to the progressive care unit. To minimize the risk of a severe physiological complication, which assessment must the nurse prioritize?

  1. Palpating the client's right dorsalis pedis pulseCevap
  2. B
    Elevating the head of the bed to 60 degrees
  3. C
    Monitoring the client's core body temperature
  4. D
    Auscultating the client's bowel sounds

Cevap

Palpating the client's right dorsalis pedis pulse
Following a femoral artery catheterization, the highest priority is assessing circulation distal to the insertion site to promptly detect arterial occlusion or hemorrhage. Palpating the pedal pulse verifies adequate blood flow to the extremity, thereby reducing the risk of severe ischemic complications.

Adım Adım Çözüm

1
Identify the procedure and its associated primary risks.
A femoral cardiac catheterization involves an arterial puncture, which carries a high immediate risk of hemorrhage or arterial occlusion at the access site.
Understanding the procedure-specific risks dictates the nursing priorities.
2
Determine the priority assessment required to mitigate these risks.
Evaluating the circulation distal to the puncture site is essential to confirm adequate limb perfusion.
Loss of blood flow is a medical emergency that can lead to tissue ischemia and limb loss if not detected early.
3
Evaluate the options to find the action that directly addresses distal circulation.
Palpating the right dorsalis pedis pulse directly assesses arterial blood flow beyond the femoral insertion site.
This action aligns with the priority of preserving physiological integrity.

Anahtar Kavram

Post-Catheterization Vascular Assessment
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Konular

Reduction of Risk Potential

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