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nurse2mrow nurse2mrow
wrote...
Posts: 7336
Rep: 8 1
10 years ago
When assessing the client who is receiving intra-arterial infusion, the nurse is unable to palpate the pulse distal to the insertion site. What is the nurse’s best action?
A.   Manipulate the catheter to move it away from the blood vessel wall.
B.   Discontinue the medication and flush the line with heparin.
C.   Document the findings as the only action.
D.   Notify the emergency team.
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wrote...
Staff Member
Educator
9 years ago
D
The loss of a pulse distal to an intra-arterial infusion site indicates arterial occlusion. The risk of inadequate tissue perfusion or the release of an embolism is high and considered an emergency.
Mastering in Nutritional Biology
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nurse2mrow Author
wrote...
9 years ago
Thank you for this, it helped me understand it perfectly.
wrote...
Staff Member
Educator
9 years ago
Hey, no worries.
Mastering in Nutritional Biology
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