A male client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing post-procedure care, the nurse should:
A. Keep the client’s knee on the affected side bent for 6 hours.
B. Apply pressure to the puncture site for 30 minutes.
C. Check the client’s pedal pulses frequently.
D. Remove the dressing on the puncture site after vital signs stabilize.
Correct Answer: C. Check the client’s pedal pulses frequently.
After renal angiography involving a femoral puncture site, the nurse should check the client’s pedal pulses frequently to detect reduced circulation to the feet caused by vascular injury. The nurse also should monitor vital signs for evidence of internal hemorrhage and should observe the puncture site frequently for fresh bleeding.
Option A: The client should be kept on bed rest for several hours so the puncture site can seal completely. Keeping the client’s knee bent is unnecessary. The client will need to lie flat in bed for several hours after the test. The leg or arm used for the injection site will be kept straight for up to 12 hours.
Option B: By the time the client returns to the short-procedure unit, manual pressure over the puncture site is no longer needed because a pressure dressing is in place. The client may not be able to do any strenuous activities or take a hot bath or shower for a period of time after the test.
Option D: The nurse shouldn’t remove this dressing for several hours — and only if instructed to do so. Once at home, the client should watch the injection site for bleeding. A small bruise is normal. So is an occasional drop of blood at the site. The client should watch the leg or arm for changes in temperature or color, pain, numbness, tingling, or loss of movement.
No comments:
Post a Comment