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The client is transferred to the ICU where they are treated with a heparin drip. They become very short of breath with activity, and they are kept on bedrest. They are eventually taken to surgery for placement of an Ekosonic endovascular system for catheter-directed thrombolysis (EKOS) of their left pulmonary embolism. The catheter is kept in place for 8 hours before removal by the acute care nurse practitioner (ACNP). After the catheter is removed, the client calls the nurse with a complaint of feeling dizzy. The nurse finds that the client's vital signs are blood pressure 82/56 mmHg and hear rate 62 beats/min. When the nurse inspects the catheter site, the nurse observes a large area of blood on the sheets, and active bleeding coming from under the groin-site dressing.
What is the top priority action? Notifying the physician of bleeding. Calling Rapid Response Team because of hypotension. Holding pressure over the site and calling for help. Drawing blood for a type and crossmatch, hemoglobin, and hematocrit in preparation for blood transfusion.
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