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.
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.
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