40. A client has just returned from having a femoral arteriogram. The first assessment by a nurse should be:
40. A client has just returned from having a femoral arteriogram. The first assessment by a nurse should be:
Test-Taking Tip
Think: ABCs as priority. There is no reason to suspect A irway or B reathing problems; therefore, the priority is C irculation (bleeding).
Content Area: Adult Health, Vascular; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures
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Answer 1 is incorrect because vital signs are important, but they are not the first assessment. Answer 2 is incorrect because the procedure should not interfere with the normal bowel sounds. Answer 3 is correct because there is a higher incidence of bleeding and hematoma formation in the groin, where the procedure was performed, due to high pressure in the femoral artery. Answer 4 is incorrect because respiratory status is important, but not the first assessment.
