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NCLEX-RN Exam Practice

Category - Shock

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Your patient is in cardiogenic shock and has had an intraaortic balloon pump placed through the left femoral artery. On assessment you note that the left foot is cool and mottled and the pedal pulse weak. What is the priority for this patient?

Document the data because it is expected.
Reevaluate in an hour.
Increase the rate on the nitroglycerin drip.
Notify the physician.

Explanation

Answer: D - The nurse would want to notify the physician of the change. This is a sign of decreased circulation to the extremity. The physician will need to intervene to prevent the patient from having further adverse affects.

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