Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

A nurse is assessing a client with peripheral arterial disease. The client’s pulses are not palpable in the left foot or leg. The nurse’s most immediate action is which of the following?
  1. Notify the physician
  2. Re-assess in 30 minutes
  3. Administer vasodilators, as prescribed
  4. Verify the assessment with Doppler ultrasonography
Explanation
Answer: D - On assessment, if the foot and leg 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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