A client recovering from surgery to repair an abdominal aortic ...

[faduma]

A client recovering from surgery to repair an abdominal aortic aneurysm develops bruising of the scrotum and penis. What should this finding suggest to the nurse?
 
  1. Accumulation of fluid in the perineum.
  2. Altered renal perfusion.
  3. Expected postoperative signs and symptoms.
  4. Disruption of the graft anastomosis.

Question 2

When caring for a client with Raynaud disease, what should the nurse instruct this client?
 
  1. Engage in high activity and stressful situations to promote circulation.
  2. Drink red wine because it is a vasodilator and would be helpful.
  3. Wear gloves and warm socks during cold weather.
  4. Restrict your fluid intake to less than 1,500 mL of liquids daily.

[janieazgirl]

Answer to Question 1

Answer: 4

1. This does not indicate accumulation of perineal fluid.
2. This does not indicate altered renal perfusion.
3. This is not expected after this type of surgery.
4. Bruising of the scrotum, perineum, or penis is indicative of a graft leakage, and must be reported immediately.

Answer to Question 2

Answer: 3

1. Excessive exercise could precipitate an event of vasospasm.
2. Alcohol will not help to relieve the vasospasms.
3. Symptoms of Raynaud occur after exposure to cold; the extremities should be kept warm and protected from injury.
4. Fluids should be encouraged, not restricted.

[faduma]

Thanks for the timely response, appreciate it

[tuate]

Excellent