Which Nursing Action Should Be Included in the Plan of Care

question 36

Multiple Choice

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.
• C) Check the abdominal incision for any redness.
• D) Teach the reason for a prolonged recovery period.

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Definitions:

Older Persons

Individuals who have reached an advanced stage of life, often defined by chronological age, such as 65 years and older, with varying implications for health, social, and legal considerations.

Recall

The process of retrieving information or memories from one's past, which can vary in accuracy.

Vestibulocochlear Nerve

The eighth cranial nerve responsible for hearing and balance, transmitting sensory information from the inner ear to the brain.

Taste and Smell

Two of the senses that work together to add flavor to food and trigger memories, responsible for detecting chemical substances in the mouth and the air.