A nurse is monitoring a client who was recently admitted to the unit after a cardiac catheterization. Which of the following ordered assignments is the nurse's priority?
A)Assess the client's heart rate
B)Monitor the client's urinary output
C)Assess pulses distal to insertion site
D)Assess pulses proximal to the insertion site

Question

Quizplus · Accepted Answer

After the procedure, the client is at risk of clot formation. Weakened or absent pulses distal to the insertion site may suggest its occurrence. Options A and B are also assessed, but assessment of the pulses distal to the insertion site is the priority. Option D is not correct.

A Nurse Is Monitoring a Client Who Was Recently Admitted