The nurse is instructing a patient who is scheduled for a cardiac catheterization. Which of the following comments made by the patient would indicate the need for additional education?
1. "I will place a warm pack at the puncture site for pain relief.".
2. "I will bring someone with me to drive me home following the procedure.".
3. "I will not be able to go upstairs to my bedroom for 72 hours.".
4. "I will not be able to take a bath for 7 days.".
1
Rationale: Cardiac catheterization is performed to determine the patency of the coronary vessels and to observe the blood flow through the chambers and the valves. This procedure is conducted via the arterial system and the most common insertion site is the femoral artery. Complications of this procedure can include hematoma, bleeding, and pseudoaneurysm. Driving, bathing, and climbing stairs should be avoided for 72 hours to reduce the chance of rupture at the insertion site. The puncture site should not be submerged for 7 days to reduce the chances of infection. The vasodilatory effect of a warm pack would cause vessel rupture and, therefore, is the choice that indicates a need for further education.
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