The nurse is caring for a 3-year-old client who is two hours... | HESI RN EXIT (IX)

Practice Question

The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

Answer Choices:

A. The pressure dressing at right femoral area is moist and oozing blood.

B. Pulse distal to the femoral artery is weaker on left foot than right foot

C. Right foot is cool to the touch and appears pale and blanched. ✓ Correct Answer

D. Blood pressure trend is downward and pulse is rapid and irregular

Correct Answer:

Right foot is cool to the touch and appears pale and blanched.

Rationale:

❄️ A cool, pale, or blanched extremity post-cardiac catheterization indicates arterial obstruction, requiring immediate attention.

❄️ This finding suggests compromised perfusion, potentially due to thrombosis or vascular spasm at the catheter insertion site.

❄️ Early detection is essential to prevent ischemic damage to the affected limb.

❄️ This is a vascular emergency and must be reported and addressed without delay.

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HESI RN EXIT (IX)

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: Exit Exams
Domain: HESI Exit - RN
Answer Choices: 4

NursingSprint

Practice Question

The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

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HESI RN EXIT (IX)

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Practice Question

The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

While caring for a client with a full thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

From Exam

HESI RN EXIT (IX)

Question Details

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