20 Questions
Which action should the nurse take to prevent thrombosis in the postoperative patient?
Elevate the extremities
What can severe edema of the extremity, pain, and decreased sensation of toes or fingers indicate?
Compartment syndrome
What should the nurse assess in the patient's discharge planning?
Ability to manage activities of daily living (ADLs)
What lifestyle changes should the patient be encouraged to make?
Stop using tobacco products
What is a normal postoperative finding due to increased arterial flow?
Edema
What should the nurse avoid when prescribing graduated compression or anti-embolism stockings?
Compressing distal vessel bypass grafts
What should the nurse ensure the patient has the knowledge and ability to assess for?
Postoperative complications
What should the nurse assist the patient in developing and implementing a plan to stop using?
Tobacco products
What should the nurse avoid to prevent obscuring visualization of the extremity?
Using anti-embolism stockings
What can edema of the extremities be reduced by?
Elevating the extremities
Which of the following is the primary objective in the postoperative period for a patient who has had an endovascular procedure?
Maintaining adequate circulation through the arterial repair
How often are pulses, Doppler assessment, color and temperature, capillary refill, and sensory and motor function of the affected extremity checked and compared with those of the other extremity in the postoperative period?
Every 15 minutes initially, then at progressively longer intervals if the patient's status remains stable
What is the typical hospital length of stay for a patient who has had an endovascular procedure?
3 to 5 days
What should be monitored at least once every 8 hours for the first 24 hours after an endovascular procedure?
ABI (Ankle-Brachial Index)
What may indicate thrombotic occlusion of the graft in a patient who has had an endovascular procedure?
Disappearance of a pulse that was present
What can result from the heparin given during surgery or from an anastomotic leak in a patient who has had an endovascular procedure?
Bleeding
What should be continuously monitored to permit early recognition and treatment of fluid imbalances in a patient who has had an endovascular procedure?
Urine output, central venous pressure, mental status, and pulse rate and volume
What should be performed to evaluate the vessels distal to the bypass graft in a patient who has had an endovascular procedure?
Doppler evaluation
Why is the ABI (Ankle-Brachial Index) not usually assessed with pedal artery bypasses?
Due to the risk of compression of the anastomosis by the cuff
When should the surgeon be immediately notified if a pulse that was present disappears in a patient who has had an endovascular procedure?
Immediately
Test your knowledge on nursing care for patients who have undergone endovascular revascularization procedures. Learn about maintaining circulation and post-procedure discharge protocols in this quiz.
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