During the postoperative period after an aneurysmectomy, the ...

[corkyiscool3328]

During the postoperative period after an aneurysmectomy, the nurse will implement which actions? Select all that apply.
 
  a. Keep the head of the bed (HOB) elevated at 60 degrees.
  b. Keep firm pressure on the abdominal incision during coughing exercises.
  c. Change dressings as ordered with aseptic technique.
  d. Monitor peripheral pulses of both lower extremities.
  e. Use the bed's knee gatch to allow for knee flexion during bed rest.

Question 2

List five problems that are high priorities in A.H.'s postoperative care.
 
  Can anyone name a few?

[fatboyy09]

Answer to Question 1

Answers: b, c, d
Elevation of HOB should not exceed 30 to 40 degrees because sharp hip flexion could cause
the graft to kink. Knees should not be bent because knee flexion compresses popliteal vessels,
restricting venous return. Dressing changes should be done with careful aseptic technique. Careful
and regular assessment for decreased tissue perfusion (see previous text) should be done to detect
leak, rupture, or occlusion of the graft.

Answer to Question 2

 Pain from his surgery.
 Confusion or disorientation related to the surgical intervention.
 Risk for infection as a result of the surgery.
 Possible altered systemic tissue perfusion as the result of a leak, rupture, or occlusion of the aortic
graft.
 Possible hypoventilation (breathing too shallowly) because of pain and history of sleep apnea and
abdominal surgery.
 Possible constipation because of his history of constipation, pain medication use, and the
abdominal surgery (inability to bear down effectively to create sufficient intra-abdominal
pressure).
 VTE (venous thromboembolism) prophylaxis. Typically, a parenteral anticoagulant such as a
low-molecular-weight heparin is ordered subcutaneously, and/or mechanical prophylaxis such as
intermittent pneumatic compression devices (ICPDs) are implemented after surgery.
 Reduced physical mobility as a result of his surgery.

[corkyiscool3328]

Excellent

[jordangronback]

TYSM