A nurse is caring for a client following a cardiac catheterization through the left groin. Which of the following actions should the nurse take?
Explanation & Rationale
A. Monitoring the dorsalis pedis pulse is correct because it assesses distal circulation in the affected extremity after a cardiac catheterization. Following a left groin (femoral artery) access, it is essential to evaluate pulses distal to the insertion site to detect complications such as arterial occlusion, hematoma, or impaired perfusion. The dorsalis pedis pulse provides key information about blood flow to the foot and overall limb perfusion. B. Keeping the client NPO for 24 hours is incorrect. After a cardiac catheterization, there is no requirement for prolonged NPO status. Once the client is fully awake and has no nausea or complications, oral intake is typically resumed as tolerated. C. Placing the client in Fowler’s position is incorrect. After femoral artery access, the client should remain in a supine position with the affected extremity straight to prevent bleeding or disruption of the arterial puncture site. Fowler’s position increases flexion at the groin, which can compromise the insertion site and increase bleeding risk. D. Maintaining strict bed rest for the first 12 hours is incorrect because while bed rest is required initially (typically 4–6 hours or per facility protocol), prolonged strict bed rest for 12 hours is not standard practice unless complications arise. Early but cautious mobilization is encouraged once hemostasis is achieved.