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Practice Question

A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

Answer Choices:

Correct Answer:

Have the client remain in bed up to 6 hr.

Rationale:

🛏️Bed rest for 4–6 hours is typically recommended post-cardiac catheterization to allow for clot stabilization at the insertion site, reducing the risk of bleeding or hematoma.

🦵Keeping the affected leg extended ensures there is minimal movement at the insertion site, especially if accessed via the femoral artery.

🩺Monitoring peripheral pulses is essential for assessing circulatory status and early identification of complications such as arterial occlusion or thrombus formation.

📉High-Fowler’s positioning (C) may increase hip flexion and pressure at the site, and measuring vitals every 15 minutes to 1 hour is more appropriate in the initial post-procedure phase than every 4 hours (E).

📌Core Message

After cardiac catheterization, the client should be on bed rest, have the affected extremity monitored for pulses, and keep the hip/leg straight to reduce bleeding risk.

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This question is from ATI Pediatrics unit 2 Exam which contains 59 questions.

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From Exam
ATI Pediatrics unit 2 Exam

59 Questions

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Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: PEDIATRICS (RN ati)
  • Answer Choices: 5
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