A nurse is removing an arterial line from a patient's radial artery. What actions by the nurse are most appropriate after the line is removed? (Select all that apply.)
A.
Apply pressure for at least 5 minutes.
B.
Assess perfusion distal to the site.
C.
Monitor the patient for bleeding.
D.
Place a clean dressing over the site.
E.
Secure the insertion site with Steri-Strips.
ANS: A, B, C
After removing the invasive device, pressure is held for at least 5 minutes, and up to 20 minutes, at the femoral site. Perfusion distal to the insertion site must be assessed, including for warmth, sensation, movement, color, pulse, and capillary refill time. The patient should be monitored for bleeding. The dressing should be sterile, and Steri-Strips are not routinely needed.
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