A nurse is providing discharge education to a client who underwent an endovascular stent graft placement for an AAA. What important information should the nurse include in the teaching?
"Avoid heavy lifting for at least 2 weeks."
"You must stop taking all blood-thinning medications."
"Expect to have frequent follow-up CT scans."
"Begin a rigorous exercise routine immediately."
The Correct Answer is A
A) Correct - After an endovascular stent graft placement for an AAA, clients should avoid heavy lifting for at least 2 weeks to prevent stress on the graft site and minimize the risk of complications.
B) Incorrect - Stopping all blood-thinning medications is not advisable after an endovascular stent graft placement. These medications may be prescribed to prevent blood clots around the graft site.
C) Incorrect - While follow-up CT scans are essential to monitor the success of the procedure and assess the aneurysm's stability, they are not expected to be frequent. The frequency of follow-up scans will be determined by the healthcare provider based on the client's progress.
D) Incorrect - Beginning a rigorous exercise routine immediately after the procedure is not recommended. Clients should gradually resume physical activity as guided by their healthcare provider to avoid complications and promote proper healing.
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Related Questions
Correct Answer is B
Explanation
A. Checking for allergies to iodine or shellfish is important before the procedure because contrast dye used in arteriography can trigger an allergic reaction. After the procedure, this step is no longer a priority.
B. Assessing pedal pulses bilaterally is critical after a peripheral arteriography to ensure distal circulation is intact. The procedure involves catheterization of arteries, which can lead to vascular complications such as thrombosis, embolism, or arterial occlusion, making this assessment a priority.
C. Monitoring blood glucose levels is important for clients with diabetes but is not the primary concern after an arteriography unless the client has preexisting hyperglycemia or hypoglycemia.
D. Evaluating respiratory rate and oxygen saturation is routine but not the immediate priority after a peripheral arterial procedure unless contrast reaction or sedation complications are suspected. The main concern is circulation to the extremity.
Correct Answer is B
Explanation
A) Incorrect - Limiting daily water intake is not a lifestyle modification that directly impacts aneurysm prevention. Adequate hydration is generally encouraged for overall health.
B) Correct - Engaging in regular aerobic exercise is a lifestyle modification that can help prevent aneurysms and promote cardiovascular health. Exercise improves blood circulation and reduces the risk of various vascular disorders.
C) Incorrect - Consuming a high-fat diet is not recommended for aneurysm prevention. High-fat diets can contribute to atherosclerosis and other cardiovascular issues.
D) Incorrect - Smoking, even in small amounts, is a significant risk factor for aneurysms. Any amount of smoking should be strongly discouraged for individuals interested in preventing aneurysms and peripheral vascular disorders.
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