Final answer:
An immediate concern after peripheral bypass graft surgery are signs indicative of poor perfusion such as a capillary refill time of 6 seconds and a mottled appearance of the limb.
Step-by-step explanation:
When caring for a client following peripheral bypass graft surgery on the left lower extremity (LLE), there are several findings that could pose an immediate concern. The findings that require crucial attention include:
- Capillary refill of affected limb of 6 seconds, which indicates poor perfusion to the tissue.
- Mottled appearance of the limb, suggesting compromised blood flow or possible graft failure.
A trace of bloody drainage on the dressing may not be unusual and a throbbing pain that decreases after IV bolus analgesic could be expected post-operatively, although should still be monitored. A pulse of 2+ in the affected limb is considered within normal limits. The immediate concerns are primarily related to signs indicating poor perfusion or potential graft complications.