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Category - Eyes
The nurse observes that the patient's right pedal pulses are absent and the leg is swollen. The nurse's first action should be to:
This assessment may indicate the patient has an arterial trauma and hemorrhage. Since this is a possibly life-threatening injury is found during the primary survey, the nurse should immediately start interventions before proceeding with the survey. Although a CBC is indicated, administration of IV fluids should be started first. The nurse can complete the primary survey and further assessment after the IV fluids are initiated.