The nurse notes a change in pulses, a cool extremity below the graft, bluish discoloration to the flanks, and abdominal distention in a patient who has had AAA open surgical repair. These symptoms are consistent with which postoperative complication?
a. Ischemic colitis
b. Cerebral and spinal cord ischemia
c. Graft occlusion or rupture
d. Thoracic outlet syndrome
Answer: c. Graft occlusion or rupture
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A nurse is caring for four postoperative clients who each had a total abdominal hysterectomy. Which client should the nurse assess first upon initial rounding?
a. Client who has had two saturated perineal pads in the last 2 hours b. Client with a temperature of 99 ° F and blood pressure of 115/73 mm Hg c. Client who has pain of "4" on a scale of 0 to 10 d. Client with a urinary catheter output of 150 mL in the last 3 hours
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when this vein is removed?" The nurse should reply:
a. "Venous insufficiency is a common problem after this type of surgery." b. "Oh, you have lots of veinsâ€"you won't even notice that it has been removed." c. "You will probably experience decreased circulation after the vein is removed." d. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition."
The nurse at an assisted-living facility uses the Exercise and Screening for You (EASY) tool to plan an exercise program for a female resident who is in good health except that her height decreased half an inch
Which exercise safety tip from EASY calls for the nurse to assess the resident before planning care? a. Do not exercise a red, warm, or swollen joint. b. Avoid stretches that cause you to bend the waist. c. Evaluate your surroundings for outdoor exercising. d. Begin by warming up with low to moderate exercises.
The patient is instructed that the most common and effective antiplatelet aggregation agent is:
a. warfarin. b. aspirin. c. alteplase (Activase). d. reteplase (Retavase).