Question

a nurse is caring for a client who has a femoral- popliteal bypass graft 2 days ago when monitoring peripheral pulses the nurse is unable to locate a pulse in the affected leg. which of the following actions should the nurse take?

Answer 1

If a nurse is unable to locate a pulse in the affected leg after a femoral-popliteal bypass graft, they should take immediate action by notifying the healthcare provider and evaluating the leg for any signs of decreased perfusion or graft failure.

Step-by-step explanation:

When monitoring peripheral pulses after a femoral-popliteal bypass graft, the nurse should be able to locate a pulse in the affected leg. If the nurse is unable to find a pulse in the affected leg, it could indicate a problem with blood flow to the leg. The nurse should take the following actions:

Notify the healthcare provider immediately, as this could be a serious complication.

Evaluate the leg for any signs of decreased perfusion, such as pale or cool skin, decreased sensation, or delayed capillary refill.

Assess for any other signs or symptoms of graft failure, such as increased pain, swelling, or decreased range of motion.

Answer 2

If a nurse is unable to locate a pulse in the affected leg of a client who had a femoral-popliteal bypass graft, they should assess other signs of compromised circulation, notify the healthcare provider, and continuously monitor vital signs.

Step-by-step explanation:

If a nurse is unable to locate a pulse in a leg that has undergone a femoral-popliteal bypass graft, it could indicate a problem with blood flow to the leg. The nurse should take the following actions:

Assess other signs of compromised circulation in the affected leg, such as pallor, coolness, and decreased sensation or movement. These signs may indicate a potential blood clot or graft occlusion and require immediate medical attention.

1. Notify the healthcare provider about the inability to find a pulse in the affected leg.
2. Continuously monitor the client's vital signs and circulation while awaiting further instructions.