Which interventions should the nurse include when caring for a client who has had endovascular repair of an abdominal aortic aneurysm? Select all that apply.

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11ecbb05_c951_e299_b433_2919c612190e_MD0009_00 Endovascular abdominal aortic aneurysm repair is a minimally invasive procedure that involves the placement of a sutureless aortic graft inside the aortic aneurysm via the femoral artery. It does not require an abdominal incision. The nurse will need to monitor the puncture sites in the groin area for bleeding or hematoma formation (Option B). Peripheral pulses should be palpated and monitored frequently in the early post-op period and routinely afterward (Option E). Renal artery occlusion can occur due to graft migration or thrombosis so careful monitoring of urine output and kidney function should be part of nursing care (Option D). (Option A) No abdominal incision is required in endovascular repair. (Option C) Chest tubes are not required in endovascular repair. Educational objective: The nurse needs to monitor groin puncture sites, peripheral pulses, urine output, and kidney function in the client who has had minimally invasive endovascular repair of an abdominal aneurysm.

Which Interventions Should the Nurse Include When Caring for a Client