A client with an aortic aneurysm is about to undergo surgery for ...

[ahriuashd]

A client with an aortic aneurysm is about to undergo surgery for repair of the aorta. Prior to surgery, the nurse should instruct the client to:
 
  1. Hold her breath when defecating.
  2. Keep her legs flat when in bed.
  3. Report a headache to the nurse.
  4. Continue taking anticoagulants.

Question 2

A client is about to undergo a vein stripping for varicose veins. The nurse should instruct the client that:
 
  1. Sitting and standing are not allowed during recovery.
  2. The legs are kept flat after surgery.
  3. Pressure bandages will not be applied following surgery.
  4. Ambulation is forbidden.

[Kjones0604]

Answer to Question 1

Answer: 2

1. The client should be instructed not to hold the breath when defecating, because it increases abdominal pressure, which could cause the aneurysm to rupture.
2. The legs are kept flat because, if they were elevated, it could increase blood flow and put pressure on the aneurysm.
3. The client should be taught to report increased lumbar, abdominal, or groin pain, as it could be an indication of rupture.
4. Anticoagulants are not administered to a client prior to surgery, because of the risk of bleeding.

Answer to Question 2

Answer: 1

1. Sitting and standing are not allowed, as they can cause pooling of blood in the legs and the reformation of varicose veins.
2. The legs are elevated after surgery.
3. Pressure bandages are applied after surgery.
4. Ambulation is begun and increased gradually.

[ahriuashd]

Thanks for the timely response, appreciate it

[samiel-sayed]

Gracias!