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Multiple Choice

To reduce the risk of a complication after balloon angioplasty, which measure should the nurse implement as the most important?

Continuous cardiac rhythm monitoring is essential after balloon angioplasty because arrhythmias or ischemia can occur during and after the procedure and can be immediately life-threatening. Detecting rhythm disturbances early allows rapid interventions to prevent deterioration. While checking the puncture site for bleeding and hematoma is important to prevent vascular complications, it does not address the most immediate risk to life. Monitoring urinary output is useful for detecting perfusion issues but is not as critical for immediate cardiac safety. Encouraging leg immobilization helps protect the access site but does not mitigate the most dangerous potential complication as effectively as rhythm surveillance. Therefore, the best priority is to continuously monitor the heart rhythm.

Continuous cardiac rhythm monitoring is essential after balloon angioplasty because arrhythmias or ischemia can occur during and after the procedure and can be immediately life-threatening. Detecting rhythm disturbances early allows rapid interventions to prevent deterioration. While checking the puncture site for bleeding and hematoma is important to prevent vascular complications, it does not address the most immediate risk to life. Monitoring urinary output is useful for detecting perfusion issues but is not as critical for immediate cardiac safety. Encouraging leg immobilization helps protect the access site but does not mitigate the most dangerous potential complication as effectively as rhythm surveillance. Therefore, the best priority is to continuously monitor the heart rhythm.