NCLEX Question of The Day

Extract:

Question 1 of 5

After a left heart catheterization (LHC), a client complains of severe foot pain on the side of the femoral stick. The nurse notes pulselessness, pallor, and a cold extremity. What should the nurse's next action be?

A. Administer an anticoagulant. B. Warm the room and re-assess. C. Increase IV fluids. D. Notify the physician stat.

Correct Answer: D

Rationale: The correct action for the nurse to take next is to notify the physician immediately (stat). The client's symptoms of foot pain, pulselessness, pallor, and cold extremity suggest a potential vascular complication, such as arterial occlusion. Prompt notification of the physician is crucial as this condition requires urgent intervention to restore blood flow and prevent tissue damage. Administering an anticoagulant (
Choice
A) without physician evaluation could be harmful as the underlying cause needs to be determined first. Warming the room and re-assessing (
Choice
B) may delay necessary treatment. Increasing IV fluids (
Choice
C) is unlikely to address the urgent vascular issue indicated by the symptoms described.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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NCLEX Question of The Day - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN