One hour after femoral cardiac catheterization, a client reports sudden back pain and feels lightheaded. The groin dressing is saturated, HR is 124/min, and BP is 86/50 mmHg. What is the nurse’s first action?

Question

Accepted Answer

B. Apply direct pressure to the site and call for help — This suggests significant bleeding (possible arterial/retroperitoneal). Priority is to control hemorrhage with direct pressure and activate emergency support, then manage fluids/blood products per orders.

Answer

A. Remove the dressing to inspect the puncture site

Answer

C. Turn the client to the side to reduce pain

Answer

D. Start a heparin infusion to prevent clotting