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ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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Roxanne, a 32-year-old waitress, underwent a cerebral angiogram through the right femoral site. Which procedural nursing assessment(s) would justify calling the physician? Select all that apply.
  1. Intact dressing that needs reinforcement due to bloody drainage
  2. Right pedal pulse weaker than left pedal pulse
  3. Equal, bilateral pedal pulses
  4. Bilateral pink, warm toes
  5. Blood pressure 88/52 mmHg
Explanation
Answer - A, B and E - Assessment findings warranting a call to the physician include signs and symptoms of bleeding and possible perfusion problems. In this case, the client’s decreased blood pressure, increased heart rate, increased amount of blood drainage, and asymmetrical pulses would necessitate notification of the physician.
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