A client with surgical repair with synthetic graft of an abdominal aortic aneurysm develops bruising of the scrotum and penis. The nurse's findings may indicate:
A)
altered renal perfusion.
B)
expected postoperative signs and symptoms.
C)
disruption of the graft anastomosis.
D)
accumulation of fluid in the perineum.
C
Explanation:
A)
Bruising of the scrotum, perineum, or penis is indicative of a graft leakage and must be reported immediately.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
Bruising of the scrotum, perineum, or penis is indicative of a graft leakage and must be reported immediately.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
Bruising of the scrotum, perineum, or penis is indicative of a graft leakage and must be reported immediately.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
Bruising of the scrotum, perineum, or penis is indicative of a graft leakage and must be reported immediately.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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ANS:
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