The nurse is caring for a client with a radial arterial catheter. Which assessment takes priority?
a. Amount of pressure in fluid container
b. Date of catheter tubing change
c. Checking for heparin in infusion container
d. Presence of an ulnar pulse
D
An intra-arterial catheter may cause arterial occlusion, which can lead to absent or decreased perfusion to the extremity. Assessment of ulnar pulse is one way to assess circulation to the arm in which the catheter is located. The nurse would note that there is enough pressure in the fluid container to keep the system flushed, and would check to see whether the catheter tubing needs to be changed. However, these are not assessments of greatest concern. Because of heparin-induced thrombocytopenia, heparin is not used in most institutions for an arterial catheter.
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