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CRNE Exam Prep

Category - Changes in Health

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A nurse is assessing a client with peripheral arterial disease. The client’s pulses are not palpable. The nurse’s most immediate action is which of the following?

Notify the physician
Re-assess in 30 minutes
Administer vasodilators, as prescribed
Verify the assessment with Doppler ultrasonography

Explanation

Answer: D - On assessment, if the pulses are not palpable, verify the findings with the Doppler ultrasonography. If the Doppler cannot detect the pulse, notify the physician immediately.

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