A nurse is caring for a client after peripheral artery bypass surgery. What should the nurse assess in the client to monitor the success of the procedure?
Arterial blood gas levels
Central venous pressure (CVP)
Peripheral pulses distal to the surgical site
Abdominal girth
The Correct Answer is C
A) Incorrect - Arterial blood gas levels are important for assessing respiratory status but are not specifically related to monitoring the success of peripheral artery bypass surgery.
B) Incorrect - Central venous pressure (CVP) monitoring is typically not necessary for clients who have undergone peripheral artery bypass surgery. It is used to assess fluid volume status in critical care settings.
C) Correct - Assessing peripheral pulses distal to the surgical site is crucial in monitoring the success of peripheral artery bypass surgery. Improved blood flow should result in stronger and more palpable pulses in the affected limb.
D) Incorrect - Monitoring abdominal girth is not directly related to peripheral artery bypass surgery. It may be relevant for assessing other conditions, but it does not specifically monitor the success of the procedure.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect - Avoiding all physical activities is unnecessary and may lead to deconditioning and other health issues. Moderate physical activity is generally encouraged for clients with aneurysms to maintain cardiovascular health.
B) Incorrect - While reducing sodium intake can be beneficial for managing hypertension, it is not a direct preventive measure for aneurysm progression. The primary focus should be on reducing risk factors like smoking and hypertension.
C) Correct - Smoking cessation is crucial in preventing the progression of thoracic aortic aneurysms. Smoking is a significant risk factor for aneurysm development and growth, and quitting can help reduce the risk of rupture.
D) Incorrect - Limiting fluid intake is not a preventive measure for thoracic aortic aneurysm progression. Adequate hydration is important for overall health and should not be restricted unless specifically recommended by a healthcare provider for other reasons.
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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