What interventions, in addition to monitoring vital signs, should the nurse plan for in a patient returning from a renal arteriogram? (Select all that apply.)
a. A pressure dressing and sandbag used to apply pressure.
b. Check distal pulses in leg every 30 to 60 minutes.
c. Encourage the patient to ambulate as soon as possible.
d. Implement bedrest for 12 hours, and instruct the patient not to bend leg.
e. Raise the head of the bed to 90 degrees.
f. Check vital signs twice daily.
ANS: A, B, D
Patient care following angiography includes bedrest for up to 12 hours to prevent bleeding at the injection site. Pressure dressing is applied, and a sandbag is used to apply pressure. Distal pulses in the leg are checked every 30 to 60 minutes. The patient is instructed not to bend the leg, and the head of the bed is not raised more than 45 degrees. Vital signs, dressing, and pulses in the affected extremity are monitored frequently.
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