護理師照護一位剛完成股動脈心導管檢查返回病房的病人。下列何者為優先護理措施？
A nurse is caring for a client who has returned from a cardiac catheterization via the femoral artery. What is the priority nursing action?
- APerform a neurological assessment進行神經評估
- BInstruct the client to remain NPO for 4 hours指示病人禁食（NPO）4 小時
- CAdminister pain medication for the groin site為腹股溝部位給予止痛藥
- DCheck the pulse distal to the insertion site✓ 正解檢查穿刺點遠端的脈搏
股動脈心導管檢查後的優先護理重點在於評估「周邊灌流」。穿刺處可能發生血腫、假性動脈瘤或血栓，導致遠端肢體缺血。檢查足背動脈（dorsalis pedis pulse）與脛後動脈（posterior tibial pulse）的脈搏強弱、顏色、溫度與感覺，是確認血管完整性與下肢血液循環的首要指標。若發現脈搏消失，必須立即通知醫師處理，以免造成肢體壞死。
After femoral cardiac catheterization, the nursing priority is to assess peripheral perfusion. The puncture site may develop hematoma, pseudoaneurysm, or thrombus, leading to distal limb ischemia. Checking the strength of the dorsalis pedis and posterior tibial pulses, along with color, temperature, and sensation, is the primary indicator of vascular integrity and lower-extremity circulation. If pulses are absent, the physician must be notified immediately to prevent limb necrosis.