ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

Thirty minutes after left-heart catheterization, the client’s blood pressure begins to drop. Which potential complication explains this?
  1. Absent distal pulses
  2. Increased pain at puncture site.
  3. Nausea
  4. Bleeding or hematoma at the puncture site
Explanation
Answer - D - Loss of circulating volume from the puncture site or into tissues surrounding the site can result in decreased blood pressure. Choice A is incorrect because absent distal pulses indicate a blockage in the artery, but will not necessarily be accompanied by decreased blood pressure. Choice B is incorrect because increased pain is more likely to result in increased blood pressure. Choice C is incorrect because nausea is more likely to result in increased blood pressure.
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