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A patient with a left ventricular assist device (LVAD) tells you that the device's pump flow is continuous. Which of the following should you expect to encounter during your assessment?

  1. Absence of a palpable pulse

  2. Distention of the jugular veins

  3. High systolic blood pressure

  4. Low diastolic blood pressure

The correct answer is: Absence of a palpable pulse

A patient with an LVAD will most likely have no palpable pulse due to the continuous flow of the pump. Other signs that may be present during assessment include distention of the jugular veins (B), high systolic blood pressure (C), and low diastolic blood pressure (D). However, A is the most specific and accurate answer as it directly relates to the continuous pump flow mentioned in the question. B, C, and D may also be seen in patients with LVADs, but they are not directly related to the specific aspect of continuous pump flow. Therefore, A is the best answer for this question.