Health Promotion and Maintenance NCLEX PN

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?

A. Notify the physician immediately.

B. Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.

C. Wait 30 minutes and recheck the pulses.

D. Document the finding.

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