A Client Has Returned to the Nursing Unit from Having

question 8

Multiple Choice

A client has returned to the nursing unit from having a cardiac catheterisation. The RN is assessing the client's right pedal pulse (dorsalis pedis) and assesses no pulse present. On further investigation, the extremity is found to be warm and pink, and nail beds blanch well with two to three seconds capillary refilling time. How would the RN explain these findings?

• A) The client has thrown a blood clot in that extremity.
• B) The RN's watch has stopped working.
• C) Too much pressure was applied over the pulse site.
• D) A change in the client's health status has occurred.

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Definitions:

Assessment Instruments

Tools or devices used to evaluate or measure skills, abilities, or knowledge in various academic or professional fields.

School-Age Children

Children who are in the age range of attending primary or elementary education, usually 5 to 12 years old.

Infant

A very young child, especially one newly or recently born, typically considered to be in the age range from birth to one year.

Adolescent

A developmental stage that marks the transition from childhood to adulthood, typically involving physical, psychological, and social changes.