# A client returns from cardiac catheterization through the femoral artery. Which finding requires immediate nursing action?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397457&lang=en  
> language: en  
> subject: Postsurgical Complications  
> category: ROR

## Question

A client returns from cardiac catheterization through the femoral artery. Which finding requires immediate nursing action?

## Option

1. The client reports being tired after the procedure.
2. The insertion site dressing is clean and dry.
3. The affected leg is kept straight as prescribed.
4. The affected foot is cool and the pedal pulse is absent. **✔ Correct answer**

**Correct answer: 4**

## Explanation

A cool foot with an absent pedal pulse after femoral arterial catheterization suggests impaired distal perfusion and requires immediate action. Fatigue, a clean dressing, and keeping the leg straight can be expected after the procedure. Neurovascular checks are essential after arterial access.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Post cardiac catheterization perfusion.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Post cardiac catheterization perfusion, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Cardiac Catheterization** — An invasive procedure used to evaluate or treat coronary and cardiac conditions.
- **Pedal Pulse** — A pulse in the foot used to assess distal circulation.
- **Neurovascular Check** — Assessment of circulation, movement, sensation, temperature, and pulses.

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