a Weak pedal pulses b Absent bowel sounds c Blood pressure of 13888 mm Hg d 25

A weak pedal pulses b absent bowel sounds c blood

This preview shows page 5 - 8 out of 18 pages.

a. Weak pedal pulses b . Absent bowel sounds c. Blood pressure of 138/88 mm Hg d . 25 mL of urine output over the past hour Triple A 10 sonometers in diameter, belly pain, back pain. They fix it, what will you look for? Bloody stools When caring for a patient on the first postoperative day after an abdominal aortic aneurysm repair, which assessment finding is most important for the nurse to communicate to the health care provider? a. Presence of flatus c. Maroon-colored liquid stool b . Hypoactive bowel sounds d. Abdominal pain with palpation
Image of page 5

Subscribe to view the full document.

6 months after surgery, come to ER with back pain, no pulses in lower extremities. What do you do first? BP shows circulation. What status is messing up. Hemodynamic status An older patient with a history of an abdominal aortic aneurysm arrives at the emergency department (ED) with severe back pain and absent pedal pulses. Which action should the nurse take first ? a. Check the blood pressure. b. Draw blood for laboratory testing. c. Assess for the presence of an abdominal bruit. d. Determine any family history of heart disease. After triple A surgery, no pulses. What will you do? Call the doctor, abnormal The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm. On assessment, the patient has absent popliteal, posterior tibial, and dorsalis pedis pulses. The legs are cool and mottled. Which action should the nurse take first ? a. Notify the surgeon and anesthesiologist. b . Wrap both the legs in a warming blanket. c. Document the findings and recheck in 15 minutes. d . Compare findings to the preoperative assessment of the pulses. After triple A repair, what will you watch for? Post-op care? Several hours after a patient had an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 45 mL. The nurse notifies the health care provider and anticipates an order for a(n) a. hemoglobin count. c. serum creatinine level. b. additional antibiotic. d. increased IV infusion rate. Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm? a. Record hourly chest tube drainage. b . Monitor fluid intake and urine output.
Image of page 6
c. Assess the abdominal incision for redness. d . Teach the patient to plan for a long recovery period. What are priority nursing interventions after Year after triple A, comes in with HF. give lasix, how do we know it’s working (clear lung sounds). What does lasix do? The nurse is caring for a patient who is receiving IV furosemide (Lasix) and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective? a. Weight loss of 2 lb in 24 hours b .
Image of page 7

Subscribe to view the full document.

Image of page 8
  • Spring '19
  • Grace Edobor

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask 0 bonus questions You can ask 0 questions (0 expire soon) You can ask 0 questions (will expire )
Answers in as fast as 15 minutes