Question

The nurse obtains an ABG sample from a client recovering from a myocardial infarction. Which action will the nurse take next?

1. Obtain ice for the specimen.
2. Monitor the site for hematoma formation.
3. Apply direct pressure to the site.
4. Apply a sterile dressing to the site.

Answer 1

The nurse should apply direct pressure to the site immediately after withdrawing the needle to control bleeding and minimize the risk of hematoma formation following an ABG sample collection from a myocardial infarction patient.

Step-by-step explanation:

After obtaining an ABG sample from a client recovering from a myocardial infarction, the correct action for the nurse to take next would be to apply direct pressure to the site. This is necessary to prevent bleeding and ensure proper clot formation at the puncture site. It’s important to apply pressure immediately after the needle is withdrawn to control bleeding, which can also help in minimizing the risk of hematoma formation. Once bleeding is controlled, the site can be monitored for any signs of a hematoma, and a sterile dressing may be applied. In some cases, depending upon the hospital protocol and the coagulation status of the patient, the specimen may need to be placed on ice to preserve the integrity of the blood gases.