76.In assessing a client's femoral pulse, the nurse must use deep
palpation to feel the pulsation while the client is in a supine position.
What action should the nurse implement?
A. Elevate the head of the bed and attempt to palpate the site again.
B. Document the presence and volume of the pulse palpated.
C. Use a thigh cuff to measure the blood pressure in the leg.
D. Record the presence of pitting edema in the inguinal area.
Deep palpation may be required to palpate the femoral pulse; and,
when palpated, the nurse should document the presence and volume
of the pulse (B). The site is best palpated with the client supine;
elevation of the head of the bed requires even deeper palpation (A).
The use of deep palpation to feel the femoral pulse does not indicate
a problem requiring further assessment, such as (C), and does not
palpation to feel the pulsation while the client is in a supine position.
What action should the nurse implement?
A. Elevate the head of the bed and attempt to palpate the site again.
B. Document the presence and volume of the pulse palpated.
C. Use a thigh cuff to measure the blood pressure in the leg.
D. Record the presence of pitting edema in the inguinal area.
Deep palpation may be required to palpate the femoral pulse; and,
when palpated, the nurse should document the presence and volume
of the pulse (B). The site is best palpated with the client supine;
elevation of the head of the bed requires even deeper palpation (A).
The use of deep palpation to feel the femoral pulse does not indicate
a problem requiring further assessment, such as (C), and does not