A client is being evaluated for arterial line placement. What should the nurse do after compressing both arteries at the client's right wrist?
1. Count the client's radial pulse rate
2. Instruct the client to flex and extend the forearm several times
3. Instruct the client to clench and unclench the fist several times
4. Have unlicensed assistive personnel measure the blood pressure
3
Rationale 1: The radial pulse rate is not counted.
Rationale 2: The forearm does not need to be flexed and extended.
Rationale 3: When conducting the modified Allen test, after compressing both arteries the nurse should instruct the client to clench and unclench the fist several times.
Rationale 4: The client's blood pressure does not need to be measured at this time.
Global Rationale: : When conducting the modified Allen test, after compressing both arteries the nurse should instruct the client to clench and unclench the fist several times. The radial pulse rate is not counted. The forearm does not need to be flexed and extended. The client's blood pressure does not need to be measured at this time.
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