If arterial bleeding occurs after ABG puncture, which action is recommended first?

• A. Elevate the limb and apply lotion
• B. Apply firm direct pressure for 5-10 minutes
• C. Apply heat to the site
• D. Have the patient perform Valsalva maneuver

Answer: (B)

When arterial bleeding occurs after an ABG puncture, the first step is to apply firm direct pressure over the puncture site for 5 to 10 minutes. Arteries have high pressure, so sustained local compression helps quickly form a clot and stop the bleed, reducing the risk of hematoma and other complications. Use clean gauze, press firmly, and keep the pressure in place for the full duration without removing the gauze to check too soon. After control of bleeding, assess distal circulation and dress the site per protocol.

Elevating the limb, lotions, applying heat, or Valsalva maneuver don’t address the local arterial bleed and are not recommended first in this scenario.