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Question 1 of 29

A patient recently had a cardiac catheterization via right-radial approach and now has a compression device in place. The patient reports numbness and pain in the right hand. The cardiac-vascular nurse notes a diminished pulse, with a cool and cyanotic hand. The nurse:

Rationale:
Reduces the pressure on the puncture site. The patient's symptoms—numbness, pain, diminished pulse, coolness, and cyanosis in the right hand—strongly indicate impaired arterial blood flow due to excessive compression at the radial puncture site. Reducing pressure immediately alleviates the constriction, potentially restoring circulation and preventing ischemic damage to the hand. This direct intervention addresses the probable cause of the acute neurovascular compromise. A: calls the physician. Calling the physician without immediate action delays crucial intervention for acute ischemia. The nurse must first address the obvious circulatory compromise directly before escalating, as per standing orders for such a device. B: performs an Allen test. An Allen test assesses collateral circulation before radial artery cannulation, not after an existing complication. Performing it now is irrelevant and wastes critical time when immediate intervention is required. D: uses the Doppler ultrasound to assess for pulse signals. While Doppler can confirm pulse presence, the nurse already noted a "diminished pulse" and visible signs of ischemia (cool, cyanotic hand). Immediate action to relieve pressure is paramount over further assessment.