Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

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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

Answers: 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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