A nurse is caring for a patient who has just started to bleed from the insertion site following a cardiac catheterization. What should be the nurse's first response? The nurse should:
1. Administer vitamin K (AquaMEPHYTON).
2. Locate and apply a compression clamp.
3. Apply a collagen patch or sheath.
4. Apply manual pressure to the site.
4
Rationale 1: Vitamin K is an antidote for warfarin. It increases hepatic biosynthesis of blood-clotting factors. But it is not a treatment for an active bleed.
Rationale 2: This might take too much time and might be done later.
Rationale 3: This might take too much time and might be done later.
Rationale 4: The nurse should immediately apply manual pressure to the site.
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