The nurse is caring for a patient post-PTCA (percutaneous transluminal coronary angioplasty) who has returned to the nursing unit with a large peripheral vascular access sheath in place. An immediate nursing intervention includes:
A) Instructing the patient to lie flat in bed and keep the affected leg straight until the sheath is removed
B) Pressure dressing to the site and then resumption of ambulation
C) Assisted ambulation for the first few hours after the procedure until hemostasis is achieved
D) Removal of the pressure dressing with replacement of an adhesive bandage
Ans: A
Feedback: A patient who has a peripheral vascular access sheath in place must remain flat in bed and keep the affected leg straight until the sheaths are removed and then for a few hours afterward to maintain hemostasis. After the sheath is removed, a pressure dressing is applied to the site. Patients may resume unassisted ambulation within a few hours after the pressure dressing is applied. This pressure dressing is replaced with an adhesive bandage on the day after the procedure.
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