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The Nurse Is Assessing a Patient Who Was Admitted to the Critical

Question 21

Multiple Choice

The nurse is assessing a patient who was admitted to the critical care unit 3 hours ago following cardiac surgery. The nurses most recent assessment reveals that the patients left pedal pulses are not palpable and that the right pedal pulses are rated at +2 . What is the nurses best response?


A) Document this expected assessment finding during the initial postoperative period.
B) Reposition the patient with his left leg in a dependent position.
C) Inform the patients physician of this assessment finding.
D) Administer an ordered dose of subcutaneous heparin.

Correct Answer:

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