An adult client is transferred to the step-down unit after undergoing a diagnostic cardiac catheterization utilizing the right femoral artery approach. When managing the client's basic care and comfort during the immediate recovery phase, which positioning intervention should the practical nurse implement?
- AElevate the head of the bed to a 45-degree angle to allow the client to watch television comfortably.
- BPlace a supportive pillow directly underneath the right knee to alleviate lower back strain.
- Maintain the client in a supine position with the right leg kept completely straight.Answer
- DEncourage the client to dangle their legs over the edge of the bed before attempting to void.
Answer
Maintain the client in a supine position with the right leg kept completely straight.
Following a femoral artery catheterization, the most critical intervention is maintaining the affected extremity straight and keeping the client supine (or with the head elevated no more than 30 degrees, depending on facility policy). The femoral artery is a major vessel under high pressure. Flexing the hip or knee can alter the tension on the puncture site, dislodge the newly formed clot, and lead to sudden, life-threatening internal or external arterial hemorrhage.
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Key Concept
Post-cardiac catheterization positioning for femoral access