Asked by Mykal Josie on May 02, 2024
Verified
A patient has just undergone an abdominal aortic aneurysm repair.The patient is pulling at the Foley catheter,nasogastric tube,central line,and abdominal dressing,and a wrist restraint is applied after an order is received.Later,the patient reports tingling and numbness in the fingers and hand.Which actions should the nurse take?
A) Stay with the patient.
B) Medicate the patient for pain.
C) Notify the health care provider.
D) Remove the restraint immediately.
E) Tell the patient to relax and it will feel better shortly.
Abdominal Aortic Aneurysm
A condition characterized by the abnormal enlargement of the abdominal portion of the aorta, the largest blood vessel in the body.
Foley Catheter
A flexible tube inserted into the bladder to drain urine, commonly used in medical settings for patients who cannot urinate independently.
Tingling And Numbness
Sensory symptoms often described as a "pins and needles" sensation, usually indicating nerve damage or dysfunction.
- Detect risks of complications among patients and implement preventive measures within their treatment plans.
- Comprehend the legal and ethical aspects involved in caring for patients, especially regarding the application of restraints and handling of confidential information.
Verified Answer
ZK
Zybrea KnightMay 03, 2024
Final Answer :
A,C,D
Explanation :
If a patient has altered neurovascular status (tingling and numbness)remove the restraint immediately,stay with the patient,and notify the health care provider.Tingling and numbness will not decrease with time; it will continue to cause damage.The patient does not need pain medication; the restraint is too tight and needs to be removed.
Learning Objectives
- Detect risks of complications among patients and implement preventive measures within their treatment plans.
- Comprehend the legal and ethical aspects involved in caring for patients, especially regarding the application of restraints and handling of confidential information.