Identify risk factors of metabolic syndrome.
(SELECT ALL THAT APPLY)

Choice A rationale:

Bleeding is a concern due to the recent surgery and heparin therapy, which can increase bleeding risk. However, wound dehiscence (wound separation) is less likely in a percutaneous insertion compared to open surgery.

Percutaneous insertion involves a smaller incision and less tissue disruption, reducing the chances of wound dehiscence.

While monitoring for bleeding is crucial, wound dehiscence may not be the most immediate concern in this specific scenario.

Choice B rationale:

Wound dehiscence and evisceration (protrusion of internal organs) are serious complications, but they are less likely to occur with percutaneous insertion compared to open surgery.

The smaller incision and minimal tissue disruption in percutaneous insertion lower the risk of these complications.

While vigilance for wound complications is essential, the priority in this case lies with bleeding and infection.

Choice C rationale:

Thrombosis (blood clot formation) is a potential complication of IVC filter placement, but it's not typically associated with the surgical site itself.

Infection is a concern for any surgical procedure, but it's not the most immediate risk in this scenario given the emphasis on bleeding and the patient's recent heparin therapy.

Choice D rationale:

Bleeding:

Heparin therapy, a blood thinner, increases the risk of bleeding.

The surgical site is a potential area for bleeding, as it involves disruption of blood vessels.

Meticulous monitoring for bleeding is essential to ensure prompt intervention if it occurs.

Infection:

Any surgical procedure carries a risk of infection.

The surgical site is a potential entry point for bacteria.

Close observation for signs of infection, such as redness, swelling, warmth, or drainage, is crucial for early detection and treatment.

Choice A rationale:

While it's important to assess for potential causative factors of premature ventricular contractions (PVCs), such as caffeine intake, it's not the immediate priority in this scenario.

The nurse's primary focus should be on assessing the patient's hemodynamic stability and oxygenation status, as frequent PVCs can compromise cardiac function and lead to serious complications.

Assessment of causative factors can be done subsequently, once the patient's immediate physiological needs have been addressed.

Choice B rationale:

The patient's subjective experience of palpitations or fluttering is valuable information, but it doesn't provide objective data about their cardiovascular status.

The nurse needs to prioritize objective assessment of vital signs, such as blood pressure and oxygen saturation, to evaluate the patient's hemodynamic stability and oxygenation.

Subjective symptoms can be further explored after obtaining objective data.

Choice D rationale:

Precipitating factors, such as infection, can contribute to PVCs, but they are not the immediate priority in this case.

The nurse's focus should be on assessing the patient's current cardiovascular status and ensuring their stability.

Investigation of potential precipitating factors can be done later, as part of a comprehensive assessment and management plan.

Choice C rationale:

Blood pressure and oxygen saturation are the most crucial parameters to assess in a patient with frequent PVCs.

Here's why:

Blood pressure: PVCs can disrupt the normal rhythm of the heart, potentially leading to a decrease in cardiac output and hypotension.

Hypotension can compromise perfusion to vital organs, such as the brain and kidneys, and can be a sign of hemodynamic instability.

Therefore, it's essential to monitor the patient's blood pressure closely.

Oxygen saturation: PVCs can also impair the heart's ability to pump blood effectively, which can lead to decreased oxygen delivery to the tissues.

This can result in hypoxemia, which can further worsen cardiac function and cause other complications.

Monitoring oxygen saturation using pulse oximetry is crucial to ensure adequate oxygenation.