The nurse assesses a client who just returned to the recovery area after undergoing a balloon angioplasty to improve circulation to the left leg. What assessment finding is the most concerning?
Client reports a pain level of 3/10.
Left groin has minimal bruising.
Left leg with weakened pedal pulse and is cool to the touch.
Blood pressure 154/78 mmHg.
The Correct Answer is C
A. A mild pain level of 3/10 is common after angioplasty and is not immediately concerning.
B. Minimal bruising at the groin is expected after this procedure and is not alarming.
C. A weakened pedal pulse and a cool leg could indicate compromised circulation, which is a serious concern post-angioplasty. Immediate assessment is needed to check for possible complications such as re-occlusion.
D. A blood pressure of 154/78 mmHg is somewhat elevated but not alarming.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["900"]
Explanation
Calculate the actual urine output:
Total output - Irrigation solution = Actual urine output
2500 mL (total output) - 1600 mL (irrigation solution) = 900 mL (actual urine output)
Correct Answer is ["A","B","C"]
Explanation
A. Early menarche increases lifetime exposure to estrogen, raising breast cancer risk.
B. Age is a significant risk factor for breast cancer.
C. Genetic factors, like BRCA mutations, increase the risk.
D. History of multiple births is generally protective against breast cancer.
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