A.B. is a 75-year-old retired schoolteacher who has had low back pain for several months. He has a long history of hyper
Posted: Thu Mar 31, 2022 7:55 am
A.B. is a 75-year-old retired schoolteacher who has had
low back pain for several months. He has a long history of
hypertension and had a myocardial infarction (MI) 3 years ago.
Since that time, he has experienced symptoms of mild heart failure
with fatigue, dyspnea on exertion, and 1+ dependent edema. Lately
he has noticed that his feet and toes have patchy areas of blueness
but denies any pain or numbness. A physical reveals +2 pedal
pulses bilaterally and a bruit in his periumbilical area. The
health care provider suspects an AAA and orders diagnostic testing,
which reveals a 5.6-cm fusiform infrarenal AAA. He is admitted to
the hospital for evaluation and preparation for an open surgical
repair of the aneurysm.
A.B. has been married for 52 years and his wife is in
good health; they have no children. He has a 50-pack-per-year
history of smoking, but he quit when he had his MI several years
ago. In addition to the disorders mentioned above, his medical
history includes hyperlipidemia, chronic obstructive pulmonary
disease (COPD), gastroesophageal reflux disease (GERD), and benign
prostatic hyperplasia (BPH). He had an umbilical hernia repair 15
years ago. His current medications include furosemide (Lasix);
enalapril (Vasotec); simvastatin (Zocor); finasteride (Proscar);
enteric-coated aspirin (Ecotrin); and ipratropium (Atrovent),
albuterol (Proventil HFA), and beclomethasone (Vanceril)
metered-dose inhalers. A.B. is 5'10" tall and currently weighs 225
lb.
Questions to Answer:
You review A.B.'s health history. Identify the risk
factors and signs and symptoms for AAA.
Which diagnostic tests may be ordered to identity the
aneurysm? And which result will you review in order to find the
most accurate description of A.B.'s aneurysm?
Preoperative teaching and care for A.B. is extensive.
Select all those interventions for each body system that you would
expect to implement during his preoperative period.
During A.B.'s acute postoperative period, you are most
concerned by the finding of? Include all complications,
prioritizing them.
You begin discharge teaching for A.B., who is now 5 days
postoperative. You plan to teach A.B. expected postoperative
problems as well symptoms that he should report to the doctor
immediately.
Develop a discharge teaching plan including goals and
interventions for A.B.
low back pain for several months. He has a long history of
hypertension and had a myocardial infarction (MI) 3 years ago.
Since that time, he has experienced symptoms of mild heart failure
with fatigue, dyspnea on exertion, and 1+ dependent edema. Lately
he has noticed that his feet and toes have patchy areas of blueness
but denies any pain or numbness. A physical reveals +2 pedal
pulses bilaterally and a bruit in his periumbilical area. The
health care provider suspects an AAA and orders diagnostic testing,
which reveals a 5.6-cm fusiform infrarenal AAA. He is admitted to
the hospital for evaluation and preparation for an open surgical
repair of the aneurysm.
A.B. has been married for 52 years and his wife is in
good health; they have no children. He has a 50-pack-per-year
history of smoking, but he quit when he had his MI several years
ago. In addition to the disorders mentioned above, his medical
history includes hyperlipidemia, chronic obstructive pulmonary
disease (COPD), gastroesophageal reflux disease (GERD), and benign
prostatic hyperplasia (BPH). He had an umbilical hernia repair 15
years ago. His current medications include furosemide (Lasix);
enalapril (Vasotec); simvastatin (Zocor); finasteride (Proscar);
enteric-coated aspirin (Ecotrin); and ipratropium (Atrovent),
albuterol (Proventil HFA), and beclomethasone (Vanceril)
metered-dose inhalers. A.B. is 5'10" tall and currently weighs 225
lb.
Questions to Answer:
You review A.B.'s health history. Identify the risk
factors and signs and symptoms for AAA.
Which diagnostic tests may be ordered to identity the
aneurysm? And which result will you review in order to find the
most accurate description of A.B.'s aneurysm?
Preoperative teaching and care for A.B. is extensive.
Select all those interventions for each body system that you would
expect to implement during his preoperative period.
During A.B.'s acute postoperative period, you are most
concerned by the finding of? Include all complications,
prioritizing them.
You begin discharge teaching for A.B., who is now 5 days
postoperative. You plan to teach A.B. expected postoperative
problems as well symptoms that he should report to the doctor
immediately.
Develop a discharge teaching plan including goals and
interventions for A.B.