A nurse is caring for a client who is 4 hours postoperative following an endovascular repair of an abdominal aortic aneurysm (AAA). Which of the following findings should the nurse identify as a priority to monitor to prevent graft leakage or rupture at the arterial puncture site?
Hypertension
Hypoglycemia
Peripheral edema
Hemorrhage
The Correct Answer is A
A) Correct - Monitoring for hypertension is essential in the postoperative period after an endovascular repair of an AAA. Hypertension can increase stress on the repaired vessel and may lead to complications.
B) Incorrect - Hypoglycemia is not a common complication after AAA repair. It is not directly related to the procedure or the aneurysm itself.
C) Incorrect - Peripheral edema may occur for various reasons, but it is not a specific complication of AAA repair unless there are other underlying factors.
D) Incorrect - Hemorrhage is a significant concern during and immediately after the procedure, but in the postoperative period, it would be an immediate complication rather than one to monitor for.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is C
Explanation
A) Incorrect - Hypoglycemia is not a common complication of femoral artery catheterization. It is not directly related to the procedure or the femoral artery itself.
B) Incorrect - Hypothermia is not a typical complication of femoral artery catheterization. The procedure is typically performed under controlled environmental conditions.
C) Correct - Bleeding and hematoma at the insertion site are common complications of femoral artery catheterization. The nurse should closely monitor the insertion site for any signs of bleeding or swelling.
D) Incorrect - While elevated blood pressure can be a concern after some procedures, it is not a specific complication of femoral artery catheterization. The primary focus after the procedure is on monitoring the insertion site.
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