Priority Assessment
Nursing Care
Reporting
Med. Admin.
Lab Concepts
100

These are the classic 6 signs of acute arterial occlusion. 

What are the 6 P's (pain, pallor, pulse, paresthesia, paralysis, poikilothermia)? 

100

For PAD patients, legs should be kept in this position to improve perfusion. 

What is a dependent position? 

100

Finding a sudden loss of this in a PAD patient will require us to notify the provider immediately. 

What are pedal pulses? 

100

This lab value must monitored closely when a patient is on heparin therapy. 

What is aPTT?

100

This test compares ankle and arm systolic pressures to assess arterial perfusion. 

What is an ankle-brachial index (ABI)? 

200

This is the priority assessment after vascular surgery.

What are peripheral pulses? 

200

This lifestyle change is one of the most important for PAD patients.

What is smoking cessation? 

200

This post-angiography complication requires urgent reporting.

What is active bleeding in the insertion site?

200

A platelet count of 75,000 in a patient receiving heparin suggests this complication. 

What is heparin-induced thrombocytopenia (HIT)?

200

An ABI of 0.35 indicates this level of arterial disease. 

What is severe arterial ischemia? 

300

This symptom in PAD indicates worsening disease and poor perfusion. 

What is pain at rest? 

300
This exercise strategy helps improve circulation in PAD patients.

What is a walking program with rest periods? 

300

A DVT patient develops sudden shortness of breath, this complication is suspected. 

What is a pulmonary embolism? 

300

This is the priority risk when administering thrombolytics. 

What is bleeding? 
300

This tool is used when pulses cannot be palpated in Peripheral Arterial Disease patients. 

What is a doppler ultrasound? 

400

This is the most concerning finding: sudden cold, pale, and this is absent. 

What is a pulse? 

400

This daily habit helps prevent complications in PAD patients.

What is inspecting the feet daily? 

400
A nurse is caring for a client with PAD who suddenly reports numbness and tingling in the affected leg. This change should be reported because it may indicate this complication. 

What is acute arterial occlusion? 

400

This is the safest injection site for low-molecular-weight heparin.

What is the abdomen? 

400

After contrast dye is used, this is the priority nursing action to prevent kidney injury. 

What is encouraging fluid intake? 

500

This neurological sign in an extremity indicates a limb-threatening emergency.

What is paralysis?
500

This intervention is appropriate for cellulitis management. 

What is elevating the affected extremity?

500

This post-op finding indicates impaired circulation and must be reported immediately. 

What is a cool, pale extremity? 

500

This symptom in a patient on anticoagulants requires immediate reporting. 

What is blood in the urine? 

500

This finding after contrast administration indicates a serious complication. 

What is decreased urine output? 

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