The nurse is continuing to care for the client following updates to the Nurses' Notes and Vital Signs. Exhibits Drag words from the choices below to fill in each blank in the following sentence. Following the client's percutaneous coronary intervention, the nurse should: dropdown, dropdown anddropdown
Explanation & Rationale
Rationale: Place the client on bedrest: Bedrest is necessary after PCI to reduce the risk of bleeding at the catheter insertion site, typically in the femoral artery. The client must remain flat with the leg extended for several hours to allow vessel healing. Administer vitamin K: Vitamin K is not routinely given after PCI. It is used to reverse warfarin-induced anticoagulation, not to manage post-procedure care in stable clients unless there is a specific bleeding disorder or elevated INR. Check pedal pulses: Assessing distal circulation is essential to monitor for complications like arterial occlusion or hematoma formation. Diminished pulses may indicate compromised blood flow due to thrombus or arterial damage. Apply pressure to the insertion site: Manual pressure is applied immediately after sheath removal to prevent bleeding. Continuous monitoring of the site for swelling, bleeding, or hematoma is a standard post-PCI nursing responsibility. Elevate the operative leg: Elevating the leg can increase the risk of bleeding by disturbing the clot at the insertion site. The leg should remain flat and immobilized to promote hemostasis and prevent complications.