1.the client had an abdominal aortic aneursym repair two days ago. Which intervention shoudl the nurse implement first?a.assess the client bowel soundsb. administer iv prophylactic antibioticc.encourage the client to splint the incisiond.ambulate the client in the room with assisstance2.Which assessment data would require immediate intervention by the nurse for the client who is 6 hrs post-op abdominal aortic aneurysm repair?a. absent bilateral pedial pulsesb.complaints of pain at the site of the incisionc.distended tender abdomind.an elevated temperature of 100*F.I was going with d on the first one and a in the second one. Any suggestions would be greatly appreciated. Thanks
09RN 289 Posts Specializes in ICU, Mother/Baby. Nov 4, 2007 1.the client had an abdominal aortic aneursym repair two days ago. Which intervention shoudl the nurse implement first?a.assess the client bowel soundsb. administer iv prophylactic antibioticc.encourage the client to splint the incisiond.ambulate the client in the room with assisstance2.Which assessment data would require immediate intervention by the nurse for the client who is 6 hrs post-op abdominal aortic aneurysm repair?a. absent bilateral pedial pulsesb.complaints of pain at the site of the incisionc.distended tender abdomind.an elevated temperature of 100*F.I was going with d on the first one and a in the second one. Any suggestions would be greatly appreciated. Thanks For the first one I would answer A. On our tests you always assess before you do anything else. For question 2 I would say : A. Absent pulse not a good thing. B and C I think you be normal and D 100 isnt considered a fever. Im just in my first semester so Im not sure how right I will be. When you find out please post.
twinkerrs 244 Posts Nov 4, 2007 I say "A" for number one and "C" for the second, due to the fact that this could mean internal bleeding.
Conrad283, BSN, RN 338 Posts Specializes in SICU, MICU, CICU, NeuroICU. Nov 4, 2007 1.the client had an abdominal aortic aneursym repair two days ago. Which intervention shoudl the nurse implement first?a.assess the client bowel soundsb. administer iv prophylactic antibioticc.encourage the client to splint the incisiond.ambulate the client in the room with assisstance2.Which assessment data would require immediate intervention by the nurse for the client who is 6 hrs post-op abdominal aortic aneurysm repair?a. absent bilateral pedial pulsesb.complaints of pain at the site of the incisionc.distended tender abdomind.an elevated temperature of 100*F.I was going with d on the first one and a in the second one. Any suggestions would be greatly appreciated. Thanks I would assess first, so my answer to the first question would be A.No matter what the situ, absent pulses is bad. A for number two
Conrad283, BSN, RN 338 Posts Specializes in SICU, MICU, CICU, NeuroICU. Nov 4, 2007 "C" for the second, due to the fact that this could mean internal bleeding.But they're six hours post-op for abdominal surgery. They're going to been sore and swollen. If the question asked a couple days post-op, I think that if they're distended it's not a good thing, but I think it's expected six hours post-op
beth66335, BSN, RN 890 Posts Nov 4, 2007 1.the client had an abdominal aortic aneursym repair two days ago. Which intervention shoudl the nurse implement first?a.assess the client bowel soundsb. administer iv prophylactic antibioticc.encourage the client to splint the incisiond.ambulate the client in the room with assistance2.Which assessment data would require immediate intervention by the nurse for the client who is 6 hrs post-op abdominal aortic aneurysm repair?a. absent bilateral pedal pulsesb.complaints of pain at the site of the incisionc.distended tender abdomend.an elevated temperature of 100*F.I was going with d on the first one and a in the second one. Any suggestions would be greatly appreciated. Thanks The first one is A. Two days post-op is enough time for a sleepy bowel to wake up and the Aorta feeds everything in the lower part of your body including the bowels.B would have been done pre-op and the others aren't as important as A. The second one is C. The abdomen should be tender from the incision, but not distended this could = free blood. A is a concern too, but not more immediate than C. B is a lower priority and D is not considered a fever in most hospitals.
Reno1978, BSN, RN 1,133 Posts Specializes in SRNA. Has 6 years experience. Nov 4, 2007 Both are A. In regards to the 2nd question, absent bilateral pedal pulses are more of an immediate concern. Think about your ABCs.
zenurse 59 Posts Nov 4, 2007 For #1, the question asks for an intervention--is it acceptable to answer A, which is an assessment? I'm pretty new to all this, but that might throw me off.
Daytonite, BSN, RN 4 Articles; 14,603 Posts Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience. Nov 4, 2007 1. the client had an abdominal aortic aneurysm repair two days ago. which intervention should the nurse implement first?a. assess the client bowel soundsb. administer iv prophylactic antibioticc. encourage the client to splint the incisiond. ambulate the client in the room with assistance"a". you are always looking for signs and symptoms of complications. an ileus or bowel rupture are a complication of this surgery.2. which assessment data would require immediate intervention by the nurse for the client who is 6 hours post-op abdominal aortic aneurysm repair?a. absent bilateral pedal pulsesb. complaints of pain at the site of the incisionc. distended tender abdomenan elevated temperature of 100 degrees f."c". a distended tender abdomen indicates hemorrhage and most likely shock due to rupture of the aneurysm repair and will require immediate notification of the doctor and likely surgical intervention. absent bilateral pulses would indicate that there is a graft occlusion, but this is not a surgical emergency.
Conrad283, BSN, RN 338 Posts Specializes in SICU, MICU, CICU, NeuroICU. Nov 5, 2007 2.Which assessment data would require immediate intervention by the nurse for the client who is 6 hrs post-op abdominal aortic aneurysm repair?a. absent bilateral pedial pulsesb.complaints of pain at the site of the incisionc.distended tender abdomind.an elevated temperature of 100*F.I asked my teacher this question and she said without a doubt it's absent bilateral pedal pulses because a distended tender abdomen is expected after surgery. If they were re-bleeding they would have intense back and abdominal pain.
GAA30 49 Posts Nov 5, 2007 They are both A. An aneurysm can cause hypoactive bowel sounds and we need to ensure that they are active. The second question is A because of the absent pulses.ABC"S
