The nurse is planning care for a client with intra-arterial... | NCLEX RN-Readiness Assessment Test-2

Practice Question

The nurse is planning care for a client with intra-arterial blood pressure monitoring of the right radial artery. Which of the following interventions should the nurse include in the client's plan of care?

Answer Choices:

A. Turn off the alarms on the monitor when obtaining an arterial blood gas (ABG) sample.

B. Maintain the client in the supine position.

C. Assess frequently the capillary refill time in the right upper extremity. ✓ Correct Answer

D. Perform an Allen test of the right upper extremity before obtaining each arterial blood specimen.

Correct Answer:

Assess frequently the capillary refill time in the right upper extremity.

Rationale:

🩺Assessing capillary refill provides immediate feedback on distal perfusion in the extremity with the arterial catheter.

💓Intra-arterial blood pressure monitoring can compromise arterial blood flow, making it crucial to evaluate circulation regularly.

🔍Early detection of diminished neurovascular status allows prompt intervention to prevent ischemia and tissue damage.

💡Frequent perfusion checks are a standard part of arterial line management to ensure patient safety and catheter function.

📌Core Message

Assessing distal perfusion with capillary refill is essential for intra-arterial monitoring.

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This question is from NCLEX RN-Readiness Assessment Test-2 which contains 106 questions.

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NCLEX RN-Readiness Assessment Test-2

106 Questions

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Question Details

Category: NCLEX RN
Subcategory: NCLEX RN- Readiness Assessment Tests
Domain: NCLEX RN- (Readiness Assessment Test)
Answer Choices: 4

Rhenis Nursing

Practice Question

The nurse is planning care for a client with intra-arterial blood pressure monitoring of the right radial artery. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is caring for a 10-year-old client with hearing loss. Which of the following would best facilitate communication with the client?

A registered nurse is delegating tasks to an unlicensed assistive personnel when caring for a client with hypoglycemia. Which tasks should the nurse assign the UAP? Select all that apply

A nurse has taught clients at a teaching center about multiple changes to decrease the risk of developing hypertension. Which of the following statements by a female client would indicate a correct understanding of the teaching?

A client is diagnosed with a pulmonary embolism (PE) and is scheduled to start intravenous heparin. Which lab panel is the priority to assess before initiating the medication?

A nurse is caring for a client experiencing alcohol withdrawal. Which of the following orders should the nurse anticipate? Select all that apply

From Exam

NCLEX RN-Readiness Assessment Test-2

Question Details

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