VATI PN Comprehensive Predictor 2020 Proctored Exam
A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse?
Explanation & Rationale
The most concerning finding in the assessment of a client's right leg after a femoropopliteal bypass graft would be if the client's pedal pulse in the right foot is not palpable. This could indicate a problem with blood flow to the limb. The other options are also concerning and should be reported to the healthcare provider. a) A cooler foot may indicate decreased blood flow to the limb. c) A capillary refill time of 5 seconds may also indicate decreased blood flow. d) A pain level of 8 on a scale from 0 to 10 should also be reported and addressed.
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