Following a left femoral cardiac catheterization, an older adult client is admitted to the medical-surgical unit with orders for strict bed rest. The practical nurse (PN) is organizing the client's care to ensure safety and comfort. Which actions should the PN incorporate into the daily care plan? Select all that apply.
- Ensure the client's left leg remains completely straight and flat against the mattress.Cevap
- BElevate the head of the bed to a 60-degree angle while the client is eating.
- Use a fracture pan instead of a standard bedpan for urinary or bowel elimination.Cevap
- DAssist the client to sit on the edge of the bed with their legs dangling for comfort.
- Offer frequent oral fluids and water to assist in flushing out the contrast dye.Cevap
- FPlace a wedge cushion under the left knee to promote slight joint flexion.
Cevap
The correct actions are to ensure the left leg remains completely straight, use a fracture pan for elimination, and offer frequent oral fluids.
Proper care for a client following a femoral cardiac catheterization prioritizes preventing hemorrhage at the arterial puncture site while meeting basic physiological needs. Keeping the affected leg completely straight prevents dislodging the clot at the femoral artery site. Using a fracture pan minimizes movement of the hips and back, avoiding undue stress on the puncture site during elimination. Finally, encouraging oral fluids is an essential basic care measure to help the kidneys excrete the nephrotoxic contrast medium used during the procedure.
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Post-procedural positioning and basic comfort care following femoral cardiac catheterization.