What action should a nurse perform when a post-PCI patient bleeds from a radial artery site after removing the inflatable compression device?

• A. Apply inflatable compression device
• B. Elevate the limb
• C. Apply pressure with finger
• D. Ice the site

Answer: (A)

When bleeding occurs after removing the radial compression device, the priority is to reestablish controlled, external pressure over the puncture to achieve hemostasis. Reapply the inflatable compression device and reinflate it to the prescribed pressure for the recommended duration, ensuring the device is properly centered over the arterial puncture. This sustained occlusive pressure stops the arterial bleed, reduces the risk of hematoma, and helps prevent complications like radial occlusion. After reapplication, monitor the hand for good perfusion, assess pulses and color, and wean the device per protocol.

Elevating the limb alone won’t stop arterial bleeding, finger pressure isn’t practical for ongoing control, and icing is not an appropriate or reliable method for managing active arterial bleeding at the puncture site.