Cardiac-Vascular Nursing (CVRN) Practice Exam

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

1. Document the weight and reassess the patient at the next session

2. Inquire about the patient's medication compliance

3. Notify the patient's physician

4. Review the patient's most recent nuclear scan

The correct answer is: Inquire about the patient's medication compliance

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.