A patient is being discharged after having balloon angioplasty. Which teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Take aspirin for any minor discomfort at the procedure site.".
2. "Call the hospital immediately if there is any bright red bleeding from the procedure site.".
3. "Because the access site is in your groin, you should avoid bending over or straining for at least 48 hours.".
4. "You may shower or bathe as usual.".
5. "Keep a pressure dressing over the site for 24 hours and then replace it with a light dressing for the next 24 hours.".
3,4
Rationale 1: Tylenol should be used for pain control, as aspirin may increase bleeding tendencies.
Rationale 2: The patient should first lie down and have someone apply direct pressure to the site. If the bleeding continues after 20 minutes, someone should call 911.
Rationale 3: Bending over or straining may cause disruption of the clot, which would lead to bleeding from the site.
Rationale 4: The patient is allowed to shower or bathe with no special restrictions.
Rationale 5: No special dressings are required.
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