Author Question: The nurse suspects a patient recovering from an abdominal aortic aneurysm repair is experiencing ... (Read 57 times)

wrbasek0 · **on:** Jun 25, 2018

The nurse suspects a patient recovering from an abdominal aortic aneurysm repair is experiencing graft leaking. What findings did the nurse use to make this clinical decision?

Select all that apply.
1. urine output 45 mL/hr
2. complaint of groin pain
3. abdominal dressing dry and intact
4. respiratory rate 16 and regular
5. complaint of back discomfort

Question 2

The nurse is instructing a patient with hypertension about lifestyle modifications. What would be appropriate to include in the teaching for this patient?

Select all that apply.
1. Review the DASH diet.
2. Begin a walking program, and progress to 30 minutes 5 to 6 days each week.
3. Plan a weight lifting regimen.
4. Eliminate dairy products from the diet.
5. Restrict fluid intake.

Mollythedog · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 5
The nurse should monitor for and report any back, or groin pain. The urine output needs to be below 30 mL/hr before reporting. A dry abdominal dressing and respiratory rate of 16 and regular are expected findings.

Answer to Question 2

Correct Answer: 1, 2
Lifestyle modifications are recommended for all patients whose blood pressure falls within the prehypertension range and everyone with intermittent or sustained hypertension. These modifications include weight loss, dietary changes, restricted alcohol use and cigarette smoking, increased physical activity, and stress reduction. Dietary approaches to managing hypertension focus on reducing sodium intake, maintaining adequate potassium and calcium intakes, and reducing total and saturated fat intake. The DASH diet has proven beneficial effects in lowering blood pressure. Regular exercise reduces blood pressure and contributes to weight loss, stress reduction, and feelings of overall well-being. Previously sedentary patients are encouraged to engage in aerobic exercise for 30 to 45 minutes per day most days of the week. Isometric exercise, such as weight training, may not be appropriate, as it can raise the systolic blood pressure.