A patient has returned to the unit following a peripheral artery angiogram with a stent insertion.
Four hours post-procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cold and dusky. What should be the nurse’s immediate action?

Reposition the limb and reassess.

Apply a warm blanket.

Notify the healthcare provider.

Elevate the extremity on a pillow.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While repositioning the limb and reassessing might be a part of the overall evaluation, it should not be the immediate action. The symptoms described are indicative of a serious issue that requires immediate medical attention.

Choice B rationale

Applying a warm blanket will not address the underlying issue. The symptoms described suggest a problem with circulation that needs immediate medical attention.

Choice C rationale

Notifying the healthcare provider is the correct immediate action. The symptoms described suggest that the patient may be experiencing a complication such as occlusion of the stent. This is a medical emergency that requires immediate intervention.

Choice D rationale

Elevating the extremity on a pillow is not the immediate action to take. While elevation can help with conditions like edema, it does not address the serious symptoms the patient is experiencing.

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Correct Answer is C

Explanation

A heart murmur due to mitral valve disease is typically heard loudest over the mitral area, which is located at the fifth intercostal space in the left midclavicular line.

A. Call the health care provider if you notice that your stools are dark. B. Change positions slowly to avoid dizziness. C. Do not take aspirin while you are taking clopidogrel. D. Take the clopidogrel with orange juice so it is more effective.

Correct Answer is A

Explanation

Clients taking clopidogrel should be advised to call their healthcare provider if they notice that their stools are dark. This could be a sign of gastrointestinal bleeding, a potential side effect of clopidogrel.

Choice B rationale

Changing positions slowly to avoid dizziness is not specifically related to clopidogrel use.

Choice C rationale

While it’s generally advised to avoid taking other blood thinners while on clopidogrel, aspirin is sometimes prescribed together with clopidogrel under the supervision of a healthcare provider.

Choice D rationale

There is no specific recommendation to take clopidogrel with orange juice for it to be more effective.

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A patient has returned to the unit following a peripheral artery angiogram with a stent insertion. Four hours post-procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cold and dusky. What should be the nurse’s immediate action?

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?

Correct Answer is C

Explanation

The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?

Correct Answer is A

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

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A patient has returned to the unit following a peripheral artery angiogram with a stent insertion.
Four hours post-procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cold and dusky. What should be the nurse’s immediate action?