Reduction of Risk Potential Q 74

Correct Answer: D. Potential alteration in renal perfusion

There is a potential alteration in renal perfusion manifested by decreased urine output. The altered renal perfusion may be related to renal artery embolism, prolonged hypotension, or prolonged aortic cross-clamping during the surgery. Intervention or surgical treatment risks versus benefits of repair in patients at increased risk for open surgery should be considered, and no intervention may be appropriate in some cases. Patients should be well informed regarding their options, risks of repair, and potential postoperative complications.

Option A: Wound infection may occur with a poorly dressed postoperative site, but it is not a priority after surgery. During postoperative care, the nurse has to be familiar with potential complications of the surgery and notify the interprofessional team if the patient has abdominal or back pain, wound discharge, fever, oliguria, or hypotension.

Option B: Ineffective coping can be a possible diagnosis after a surgery, however, it is not considered as an immediate risk. The nurse should also ensure that the appropriate consulting physician/dietitian/social workers have seen the patient and the surgeon notified prior to discharge. Open communication between the interprofessional team is vital to ensure good outcomes.

Option C: Electrolyte imbalance cannot be considered a potential diagnosis for a client who just had a surgery for repair of aortic aneurysm since there are no GI complications associated with this surgery. The nurse should also auscultate for bowel sounds and convey the results to the interprofessional team so that feeding can be initiated. Prior to discharge, the pharmacist and nurse should educate the patient on the importance of medication compliance, the need to control blood pressure, and avoiding tobacco.