Free NCLEX RN Practice Test Practice Question
Following femoral catheterization for percutaneous coronary intervention (PCI), the client has increasing pain in the catheterization site, and the nurse notes visible edema and induration surrounding the site. The nurse suspects a hematoma and notifies the physician. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D
Rationale: In the case of suspected hematoma following femoral catheterization, applying pressure to the site (A) is essential to control bleeding and reduce swelling. Marking the margins of the edematous area (B) helps monitor any changes in size, indicating progression or resolution of the hematoma. Monitoring hemoglobin and hematocrit (C) is vital to assess for potential blood loss and anemia. Maintaining bedrest (D) is important to prevent further complications and promote healing.
Administration of clotting factors (E) is inappropriate unless a specific coagulopathy is diagnosed, as it does not directly address the immediate management of a hematoma.
Unlock All Questions
Subscribe to Premium for full access to all practice questions, detailed rationales, and performance tracking.
Subscribe Now