A practical nurse is providing care for a client who returned to the nursing unit 2 hours ago following a diagnostic cardiac catheterization accessed via the right femoral artery. The client is prescribed strict bed rest and reports mild lower back discomfort. Which interventions are appropriate for the nurse to implement to promote comfort while maintaining safety? Select all that apply.
- Provide a fracture bedpan for urinary elimination rather than assisting the client to a bedside commode.Answer
- BElevate the head of the bed to a high-Fowler's position to help relieve the client's lower back discomfort.
- Maintain the client's right leg in a straight, neutral position.Answer
- Place a small, flat rolled towel under the small of the client's back to alleviate muscle strain.Answer
- ETurn the client onto the right lateral side with both hips and knees flexed to promote rest.
- FPerform passive range of motion exercises on the right lower extremity to prevent venous stasis.
Answer
The nurse should provide a fracture bedpan, maintain the right leg in a straight position, and place a small rolled towel under the client's lower back.
Following a femoral cardiac catheterization, basic care must prioritize keeping the affected hip and leg straight to prevent arterial bleeding. Providing a fracture bedpan allows for elimination with minimal hip movement and lifting. Maintaining the right leg in a straight position protects the puncture site and ensures clot stability. Placing a small rolled towel under the lower back provides safe comfort for the expected backache caused by prolonged flat bed rest, entirely without requiring the client to bend their hips.
Step-by-Step Solution
Key Concept
Post-procedure basic care, positioning, and comfort following femoral arterial access