Question

After removing a left femoral arterial sheath, which assessment finding warrant immediately interventions by the nurse? (Select all that applied.)

a) Unrelieved back and flank pain.
b) Cool and pale left leg and foot.
c) Left groin egg-size hematoma.

Answer 1

Unrelieved back and flank pain, cool and pale left leg and foot, and left groin egg-size hematoma are assessment findings that warrant immediate interventions.

Step-by-step explanation:

After removing a left femoral arterial sheath, the following assessment findings warrant immediate interventions by the nurse:

1. Unrelieved back and flank pain: This could indicate a complication such as a retroperitoneal bleed or renal ischemia, and may require urgent medical attention.
2. Cool and pale left leg and foot: This suggests reduced blood flow to the limb, possibly due to arterial occlusion or embolism, and requires immediate assessment and intervention.
3. Left groin egg-size hematoma: This could indicate bleeding at the site of sheath removal, which may require compression, hemostatic agents, or surgical repair to control the bleeding.