A client who is a fresh postoperative endovascular repair is complaining of numbness and tingling in his right foot. The nurse checks for pedal pulses and finds one only in the left foot. The right foot is cool and pale
What is the next step for the nurse to take? 1. Contact the health care provider.
2. Take the client's blood pressure.
3. Listen to the client's lungs.
4. Provide the client with pain medication.
Contact the health care provider.
Rationale: The fresh postoperative client who has undergone an endovascular repair is at risk for distal embolization. The lack of pedal pulse and a cool, pale right foot is indicative of a clot, and the health care provider should be contacted. Taking the client's blood pressure and assessing the lung sounds will need to be done, but are not a top priority. Providing the client with pain medication is not necessary at this time.
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