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 - Checking for allergies to iodine or shellfish is a priority assessment after a peripheral arteriography because contrast dye containing iodine is used during the procedure. An allergic reaction to the dye can be life-threatening and requires immediate intervention.
B) Incorrect - Assessing for pedal pulses bilaterally is important in general, but it is not the priority assessment immediately after a peripheral arteriography.
C) Incorrect - Monitoring blood glucose levels may be relevant for clients with diabetes, but it is not the priority assessment after a peripheral arteriography.
D) Incorrect - Evaluating respiratory rate and oxygen saturation is essential in many post-procedure assessments, but it is not the priority immediately after a peripheral arteriography. The focus is on assessing for any immediate allergic reactions to the contrast dye.
Questions
Correct Answer is B
Explanation
A) Incorrect - Encouraging early ambulation and leg exercises is essential after peripheral artery bypass surgery to promote blood circulation and prevent complications like deep vein thrombosis.
B) Correct - Elevating the affected leg above heart level while resting can help reduce swelling and promote blood flow, aiding in the healing process after peripheral artery bypass surgery.
C) Incorrect - Applying direct pressure to the surgical incision if it starts bleeding may worsen the bleeding. Instead, the client should apply gentle pressure with a clean cloth and seek immediate medical attention if bleeding does not stop.
D) Incorrect - Taking hot baths is not recommended after peripheral artery bypass surgery. Heat may dilate blood vessels and increase blood flow, potentially causing complications at the surgical site.
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