Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this clients plan of care?
Explanation & Rationale
A. Measure body temperature: Monitoring for fever is important in general care but is not the most critical when assessing for adverse effects specific to prasugrel, which primarily increases the risk of bleeding. B. Assess skin turgor: Skin turgor evaluates hydration status and is not directly relevant to monitoring for complications associated with antiplatelet therapy like prasugrel. C. Check for pedal edema: Pedal edema could suggest heart failure or fluid retention but is not typically a primary concern related to prasugrel’s adverse effect profile, which centers on bleeding risks. D. Observe color of urine: Hematuria, or blood in the urine, can be an early indicator of bleeding, a serious adverse effect of prasugrel, making urine color observation a critical assessment for early detection of complications.