Which of the following interventions should the nurse prioritize for a client with acute coronary syndrome who is undergoing percutaneous coronary intervention (PCI)? Select all that apply.

Acute coronary syndrome (ACS) involves reduced blood flow to the myocardium due to partial or complete coronary artery obstruction. Percutaneous coronary intervention (PCI) is a time-sensitive procedure used to restore coronary perfusion and limit myocardial damage. During PCI, the nurse’s priority is to ensure hemodynamic stability, prevent thrombotic complications, and closely monitor for ischemic changes. Anticoagulation and continuous cardiac monitoring are essential for patient safety throughout the procedure. Rationale: A. Educating the client on lifestyle modifications after discharge is important but not an immediate priority during PCI. Patient education is part of long-term secondary prevention and is typically addressed after the client is stabilized. During the procedure, the focus is on real-time monitoring and acute intervention. B. Transferring the client to a regular medical-surgical unit after the procedure is not an appropriate immediate intervention. Post-PCI clients require close monitoring in a specialized cardiac care or intensive care setting to detect complications such as bleeding, arrhythmias, or re-occlusion. Premature transfer may delay recognition of life-threatening complications. C. Evaluating the client's ECG continuously during the procedure is essential because it allows immediate detection of ischemic changes, arrhythmias, or reperfusion events. Continuous cardiac monitoring ensures rapid intervention if complications arise during coronary artery manipulation. This is a critical safety measure in PCI. D. Assessing the client's history of bleeding and current medications is crucial before and during PCI because anticoagulants and antiplatelet agents are used to prevent thrombus formation. Identifying bleeding risks helps guide safe medication administration and reduces the risk of hemorrhagic complications during the procedure. E. Administering anticoagulants as prescribed is a priority because they prevent clot formation during PCI and reduce the risk of acute vessel occlusion. These medications help maintain coronary artery patency while the intervention is being performed. Proper dosing and timing are critical to ensure procedural success and patient safety.