A client underwent open surgical repair for an abdominal aortic aneurysm (AAA). What should the client be instructed to report to the healthcare provider during the postoperative period?
Mild incisional pain
Incisional drainage with slight redness
Mild swelling of the legs
Sudden onset of chest pain
The Correct Answer is C
A) Incorrect - Mild incisional pain is expected after open surgical repair and can be managed with prescribed pain medications. It does not require immediate reporting.
B) Incorrect - Some incisional drainage with slight redness may be normal in the early postoperative period. However, increasing drainage or significant redness may indicate infection and should be reported to the healthcare provider.
C) Correct - Mild swelling of the legs may indicate a fluid retention issue or impaired circulation, which can be a concern after AAA repair. It should be reported for further evaluation.
D) Incorrect - Sudden onset of chest pain is not directly related to the AAA repair and may indicate a different medical emergency that requires immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Fasting for at least 8 hours before cerebral angiography is essential to reduce the risk of aspiration during the procedure, as it involves the injection of contrast dye.
B) Incorrect - Chest pain is not a normal sensation during cerebral angiography. If chest pain occurs during the test, the client should inform the healthcare team immediately.
C) Incorrect - While some procedures, like angioplasty, require lying flat for several hours to prevent bleeding, cerebral angiography does not typically require this position after the test.
D) Incorrect - It is essential to stay hydrated after cerebral angiography to help flush out the contrast dye from the system. The client should be encouraged to drink fluids, unless contraindicated for another reason.
Correct Answer is B
Explanation
A) Incorrect - Avoiding physical activity for the first 6 weeks is unnecessary and may hinder the client's recovery. Gradual activity resumption is generally recommended after peripheral artery bypass surgery.
B) Correct - Light walking is a suitable form of physical activity to begin the day after peripheral artery bypass surgery. Gradual and controlled walking helps improve blood circulation and promotes healing.
C) Incorrect - Participating in strenuous exercises immediately after peripheral artery bypass surgery is not recommended. Strenuous activities can put stress on the surgical site and increase the risk of complications.
D) Incorrect - Waiting until fully recovered before engaging in any physical activity is unnecessary and may delay the client's recovery process. Controlled and gradual activity resumption is usually preferred.
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