A nurse is caring for a client who had a femoral artery cannulation for an invasive procedure. What is the priority nursing assessment?
Pain level at the insertion site
Peripheral pulses distal to the insertion site
Client's ability to ambulate independently
Capillary refill of the fingers
The Correct Answer is B
A) Incorrect - Assessing pain level at the insertion site is important but not the priority assessment when evaluating the immediate complications of femoral artery cannulation.
B) Correct - Assessing peripheral pulses distal to the insertion site is the priority when evaluating the adequacy of blood flow after femoral artery cannulation. Diminished or absent pulses may indicate vascular compromise.
C) Incorrect - The client's ability to ambulate independently is a relevant assessment but not the priority when immediately assessing the complications of femoral artery cannulation.
D) Incorrect - Capillary refill of the fingers is important but is not the priority assessment in the immediate post-procedure period following femoral artery cannulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect - Mild incisional pain is expected after open surgical repair and can be managed with prescribed pain medications. It does not require immediate reporting.
B) Incorrect - Some incisional drainage with slight redness may be normal in the early postoperative period. However, increasing drainage or significant redness may indicate infection and should be reported to the healthcare provider.
C) Correct - Mild swelling of the legs may indicate a fluid retention issue or impaired circulation, which can be a concern after AAA repair. It should be reported for further evaluation.
D) Incorrect - Sudden onset of chest pain is not directly related to the AAA repair and may indicate a different medical emergency that requires immediate attention.
Correct Answer is B
Explanation
A) Incorrect - Encouraging early ambulation and leg exercises is essential after peripheral artery bypass surgery to promote blood circulation and prevent complications like deep vein thrombosis.
B) Correct - Elevating the affected leg above heart level while resting can help reduce swelling and promote blood flow, aiding in the healing process after peripheral artery bypass surgery.
C) Incorrect - Applying direct pressure to the surgical incision if it starts bleeding may worsen the bleeding. Instead, the client should apply gentle pressure with a clean cloth and seek immediate medical attention if bleeding does not stop.
D) Incorrect - Taking hot baths is not recommended after peripheral artery bypass surgery. Heat may dilate blood vessels and increase blood flow, potentially causing complications at the surgical site.
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