A patient in the cardiac step-down unit has begun bleeding from the percutaneous coronary intervention (PCI) access site in her femoral region. What is the nurse's most appropriate action?
A) Call for assistance and initiate cardiopulmonary resuscitation.
B) Reposition the patient's leg in a nondependent position.
C) Promptly remove the femoral sheath.
D) Call for help and apply pressure to the access site.
Ans: D
Feedback:
The femoral sheath produces pressure on the access site. Pressure will temporarily reduce bleeding and allow for subsequent interventions. Removing the sheath would exacerbate bleeding and repositioning would not halt it. CPR is not indicated unless there is evidence of respiratory or cardiac arrest.
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