问题 单项选择题

Immediately after a 1-year-old client returns from a cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weak. The nurse should take which of the following actions

A. Remove the pressure bandage from the insertion site.
B. Perform passive exercises on the affected extremity.
C. Notify the physician of the assessment.
D. Record the data on the nursing notes and continue to evaluat

答案

参考答案:D

解析:The pulse distal to the insertion site may be weak for a few hours but should gradually increase in strength. The pressure dressing shouldn’t be removed because of the risk of hemorrhage. Passive exercises on the affected extremity wouldn’t be performed after a cardiac catheterization. The physician doesn’t need to be notified at this time but should be notified if the weak pulse continues for longer than 2 hours.

单项选择题
单项选择题