A Nurse Is Caring for a Patient Who Has Undergone

A nurse is caring for a patient who has undergone neck resection with a radial forearm free flap. The nurses most recent assessment of the graft reveals that it has a bluish color and that mottling is visible. What is the nurses most appropriate action?

A) Document the findings as being consistent with a viable graft.
B) Promptly report these indications of venous congestion.
C) Closely monitor the patient and reassess in 30 minutes.
D) Reposition the patient to promote peripheral circulation.