Following a percutaneous transluminal coronary angioplasty (PTCA), which of the following nursing assessments would be considered as primary for this client?
A) Evaluate for signs of infection.
B) Monitor gag reflex.
C) Assess peripheral pulses in affected extremity.
D) Monitor for signs of fluid volume deficit.
C
Feedback:
The PTCA is inserted and threaded through a peripheral artery. If a complication occurs at the site of insertion, impaired circulation to the affected limb can occur. Fluid volume deficit is not a primary concern. PTCA is an invasive, nonsurgical procedure in which general anesthesia is not required, making monitoring for impaired gag reflex a nonpriority. Signs of infection should be monitored post-PTCA but not in the immediate postprocedure time frame.
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