What interventions will the nurse include when planning care for a patient recovering from PCI with stent placement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Monitor for reperfusion dysrhythmias.
2. Monitor for bleeding from the catheter site.
3. Assess for pulses at the ankle and knee.
4. Maintain the patient on bedrest with the cannulated extremity straight for 4 to 6 hours.
5. Administer blood products for low blood pressure as prescribed.
1,2,3,4
Rationale 1: This is an appropriate intervention for a patient recovering from PCI with stent placement.
Rationale 2: This is an appropriate intervention for a patient recovering from PCI with stent placement.
Rationale 3: This is an appropriate intervention for a patient recovering from PCI with stent placement. The nurse should monitor the extremity below the insertion site for pulses.
Rationale 4: This is an appropriate intervention for a patient recovering from PCI with stent placement.
Rationale 5: This is not an appropriate intervention for a patient recovering from PCI with stent placement. It would be appropriate for the patient recovering from coronary artery bypass grafting.
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