The nurse is caring for a high-risk neonate who has an umbilical catheter and is in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
a. Place socks on the infant's feet.
b. Elevate the infant's feet 15 degrees.
c. Wrap the infant's feet loosely in a prewarmed blanket.
d. Report the findings immediately to the practitioner.
Blanching of the feet in a neonate with an umbilical catheter is an indication of vasospasm. Vasoconstriction of the peripheral vessels, triggered by the vasospasm, can seriously impair circulation. It is an emergency situation and must be reported immediately.
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