The nurse is caring for a client who has just returned from the cardiac catheterization lab. Which complications of cardiac catheterization require immediate intervention by the nurse?

Select all that apply.
  1. chest pain
  2. decreased appetite
  3. difficulty swallowing
  4. hematoma formation
  5. decreased pulses in the affected extremity
Numbers 1, 3, 4, and 5 are correct.
Rationale: Chest pain, hematoma formation, and decreased pulses are signs of cardiac ischemia. The nurse should call the Rapid Response Team or health care provider immediately. Difficulty swallowing may indicate possible stroke. A decreased appetite is not a complication of cardiac catheterization and does not require emergent care.