A nurse is caring for an adolescent following a cardiac cath…
A nurse is caring for an adolescent following a cardiac catheterization. Nurses’ Notes 0700: Adolescent alert and oriented, resting in bed in supine position with their legs straight. Pressure dressing to right femoral area dry and intact. Bilateral lower extremities warm to touch with equal posterior tibial and dorsalis pedis pulses palpated. Reports pain as 0 on a scale of 0 to 10. 0730: Adolescent awake, resting in supine position with their legs straight. Dressing to right femoral area saturated with bloody drainage. Posterior tibial and dorsalis pedis pulses of right extremity slightly diminished compared to the left extremity. Right lower extremity cool and pale in color. Reports pain as 2 on a scale of 0 to 10. Vital Signs 0700: Blood pressure 120/76 mm Hg Apical pulse rate 90/min Respiratory rate 16/min Temperature 36.6° C (97.9° F) 0730: Blood pressure 100/52 mm Hg Apical pulse rate 112/min Respiratory rate 18/min Temperature 36.7° C (98.1° F) Medical History Adolescent has no significant past medical history. Adolescent was playing basketball last night when they suddenly “passed out” on the court. No significant maternal or paternal medical history. Which of the following assessment findings should the nurse report to the provider? Select the findings that the nurse should report to the provider.