Navigating Patient Care After Percutaneous Coronary Angioplasty

For a patient who had a percutaneous coronary angioplasty and shows slight pedal edema, what should the nurse's first action be?

• A. Document the weight and reassess the patient at the next session
• B. Inquire about the patient's medication compliance
• C. Notify the patient's physician
• D. Review the patient's most recent nuclear scan

Answer: (B)

In this scenario, the initial action the nurse should take is to inquire about the patient's medication compliance. Following a percutaneous coronary angioplasty, it is critical for patients to adhere to prescribed medication regimens, particularly antiplatelet agents, to prevent complications such as re-occlusion of treated arteries and to manage overall cardiovascular health. The presence of slight pedal edema could indicate fluid retention or other potential concerns related to the patient's cardiovascular status. By asking about medication compliance, the nurse can ascertain whether the patient is following the prescribed treatment plan, which can significantly impact their recovery and overall well-being. If the patient is not compliant with medications, it may necessitate immediate interventions or adjustments in their treatment plan. In contrast to other options, monitoring medications is a proactive step that could address underlying issues contributing to the edema. Documenting weight and reassessing at the next session may be too delayed to address potential complications. Notifying the physician would be a step taken after gathering pertinent information, and reviewing a nuclear scan may not provide immediate insight into the current situation. Thus, establishing a clear picture of the patient’s medication adherence is essential in formulating an appropriate care plan.

When it comes to caring for patients who've just undergone a percutaneous coronary angioplasty, the stakes are pretty high. You’d think that once the procedure’s over, it’s smooth sailing, but the reality is more layered. So, what do you do if you encounter a patient displaying slight pedal edema? You know what? The first step might not be what you expect.

Let’s break this down. Imagine you’re the nurse on duty, and you see a patient who’s just had an angioplasty. They’ve got a bit of swelling around their ankles, and your heart skips a beat. What do you do first? You’ve got choices here—document their weight, call the physician, or even go snooping around their latest nuclear scan. But hold on! Before diving into either option, the sharpest move is to inquire about the patient's medication compliance.

Why? Well, after such a significant procedure, patients need to stick to their prescribed medication like glue—especially those pesky antiplatelet agents. If they can’t or don’t take those meds, it might put them at serious risk for complications, like the scary re-occlusion of arteries. And let's face it, that's the last thing anyone wants to deal with.

So, when you ask the patient whether they're adhering to their medication regimen, you’re cutting straight to the chase. This question holds the potential to reveal underlying issues that might be cooking beneath the surface. What if they forgot their meds? Or maybe they've been feeling too nauseated to keep taking them? You’ll need that intel to start figuring out a game plan.

Now, as for the other options? Sure, documenting weight is a good step, but doing that and waiting for the next session might put your patient in a precarious position—after all, who wants to wait for complications when you could prevent them? Notifying the physician may be necessary further down the line, but it’s not the first course of action you should take without gathering all pertinent information first. And reviewing a nuclear scan? Well, that's more of a long game approach that doesn’t directly address the immediate situation of edema.

At the end of the day, knowing whether your patient is compliant with their medications can shine a light on the actual issue causing that edema. It allows you to tailor your care plan to fit their needs, ensuring they recover as smoothly as possible. Remember, a nurse isn’t just a caretaker, but a keen investigator in the realm of patient health. By prioritizing the right questions and actions, you're not just adhering to protocols; you're potentially saving lives. So keep that enthusiasm fueled with knowledge, and your patients will thank you for it!