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Progressive Care Nursing PCCN Exam Prep

Category - PCCN

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A nurse is monitoring a client who was recently admitted to the unit after a cardiac catheterization. Which of the following ordered assignments is the nurse's priority?

Assess the client's heart rate
Monitor the client's urinary output
Assess pulses distal to insertion site
Assess pulses proximal to the insertion site

Explanation

Answer - C - After the procedure, the client is at risk of clot formation. Weakened or absent pulses distal to the insertion site may suggest its occurrence. Options A and B are also assessed, but assessment of the pulses distal to the insertion site is the priority. Option D is not correct.

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Progressive Care Nursing PCCN Exam Prep

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Progressive Care Nursing PCCN Exam Prep

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