The nurse notes that a client returning from a cardiac catheterization has the extremity used for the procedure elevated on a pillow. What should the nurse do?
1. Remove the pillow
2. Position on the left side
3. Keep the pillow in place
4. Raise the head of the bed
3
Rationale 1: The pillow should not be removed.
Rationale 2: The client should be supine for several hours before turning from side to side.
Rationale 3: The extremity used for the catheterization should be elevated. This position promotes blood supply back to heart and prevents thrombus formation.
Rationale 4: The bed should be flat.
Global Rationale: The extremity used for the catheterization should be elevated. This position promotes blood supply back to heart and prevents thrombus formation. The pillow should not be removed. The client should be supine for several hours before turning from side to side. The bed should be flat.
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