The nurse is caring for a child that just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing actions demonstrate knowledge of the procedure? Select all that apply
A) The nurse allows the patient up to the bathroom only.
B) The nurse assesses the dorsalis pedis pulse in the left foot.
C) The nurse assesses the puncture site frequently.
D) The nurse tells the parents that the physician will discuss the results of the procedure with them.
E) The nurse assesses the patient's vital signs every 8 hours.
Ans: B, C, D
The nurse must assess the pulse distal to the puncture site to determine that circulation remains adequate to the extremity. Assessing the puncture site ensures early recognition of bleeding from the site. The physician will be able to inform the parents regarding the results of the procedure after completion. The child should be kept on bedrest for a specified period of time, so they cannot be up to the bathroom. Vital signs will need to be taken more frequently than every 8 hours for early detection of complications.
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