A nurse is providing teaching to the parent of a child about home care following a cardiac catheterization. Which of the following statements should the nurse include?
Explanation & Rationale
Choice A rationale Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with antiplatelet effects, which can increase the risk of bleeding. Following a cardiac catheterization, a puncture site has been created in a blood vessel. Giving aspirin could inhibit platelet function and increase the risk of bleeding or hematoma formation at the insertion site. Choice B rationale The pressure dressing applied after a cardiac catheterization is crucial for hemostasis and preventing bleeding at the puncture site. It should be left in place for an extended period to ensure the vessel has sealed. Typically, a small adhesive bandage replaces the pressure dressing after 24 hours, not 8 hours, to provide adequate compression. Choice C rationale Soaking the child in a bathtub should be avoided for several days to prevent water from entering the catheterization site. Introducing water to the site increases the risk of infection. The site should be kept clean and dry. A sponge bath is the recommended bathing method for the first few days following the procedure. Choice D rationale Following a cardiac catheterization, the insertion site, typically in the groin, is at risk for bleeding and hematoma formation. Strenuous activities increase blood pressure and could put stress on the healing blood vessel. Avoiding these activities for several days allows the vessel to heal and significantly reduces the risk of complications.