What should the nurse do if they are unable to locate a pulse on the affected leg of a client after a femoral-popliteal bypass graft?

If a nurse is unable to locate a pulse on the affected leg after a femoral-popliteal bypass graft, notifying the charge nurse of this finding is the most appropriate action. This is critical because the absence of a pulse could indicate a potential complication, such as graft failure, thrombosis, or arterial occlusion, all of which can lead to serious consequences, including limb ischemia. The charge nurse can help initiate further assessment and intervention, ensuring that the client receives timely care.

Taking further measures like checking the pulse again in an hour, encouraging rest, or applying ice would not address the immediate concern of a possibly compromised blood flow. Prompt communication with a more experienced nurse or the healthcare team prioritizes patient safety and ensures that necessary diagnostic and therapeutic interventions are executed without delay. It is essential for the nurse to act quickly in response to significant findings that suggest a risk to the client's health.