The nurse is caring for a client who, 30 minutes ago, underwent an ablation procedure for supraventricular tachycardia in the cardiac catheterization laboratory. The client has a dressing over the femoral insertion site with a small amount of oozing blood. Which action by the nurse causes the charge nurse to intervene?

Question

The nurse is caring for a client who, 30 minutes ago, underwent an ablation procedure for supraventricular tachycardia in the cardiac catheterization laboratory.  The client has a dressing over the femoral insertion site with a small amount of oozing blood.  Which action by the nurse causes the charge nurse to intervene?

Quizplus · Accepted Answer

Radiofrequency catheter ablation is an invasive procedure that may be used to treat clients with recurrent episodes of supraventricular tachycardia. A catheter is inserted through a large artery or vein (eg, femoral) and threaded to the heart. Radiofrequency waves are delivered to inactivate tissue in the area of the heart causing the dysrhythmia. After cardiac catheterization, clients must remain supine with the head of the bed at ≤30 degrees and the affected extremity straight to prevent bleeding from the catheter insertion site. The charge nurse should intervene if the nurse is assisting the client to sit on the side of the bed to use the urinal (Option C). (Option A) A small amount of bleeding can be expected after the catheter is removed. It is appropriate to apply pressure above the insertion site to control bleeding. The nurse should continue to closely monitor the site for further bleeding. (Option B) It is important to verify adequate perfusion to the affected limb by frequently palpating the pedal pulses. Bilateral pulses should be palpated for comparison. (Option D) Chest pain after ablation may be due to cardiac muscle damage but could also be caused by cardiac ischemia. This should be reported immediately to the health care provider. Educational objective: Radiofrequency catheter ablation is a cardiac catheterization procedure indicated for a client with recurrent episodes of supraventricular tachycardia. After cardiac catheterization, the client must remain supine with the head of the bed at ≤30 degrees and the affected extremity straight to prevent bleeding from the catheter insertion site.

The Nurse Is Caring for a Client Who, 30 Minutes