Difficulty: Medium
Average Score: 86%
Simulated
The nurse cares for a client immediately following a percutaneous coronary intervention (PCI). Upon sheath removal, the client develops bradycardia and hypotension. Which intervention would be the nurseÔÇÖs priority?
Correct answer
C
Rationale
Bradycardia and hypotension post-PCI sheath removal (D) suggest a vasovagal response or bleeding, requiring a fluid bolus (C) to stabilize circulation, per ACLS guidelines. Pulse assessment (A), sandbag application (B), and head elevation (D) are secondary or inappropriate.