During the Preoperative Assessment of an Adult with a Previously

During the preoperative assessment of an adult with a previously corrected congenital heart defect,the perioperative nurse should be aware of anatomic anomalies associated with the original defect,or its subsequent repair,that may alter the current surgical plan for a patient who had prior pediatric cardiac surgery.What is an appropriate nursing response when the assessment reveals the adult patient has undergone prior pediatric cardiac surgery? Select all that apply.

A) Prepare for endocardial injury if the heart is retracted or manipulated too forcefully.
B) Prepare to employ the current surgical plan,adding pediatric vascular clamps to the set.
C) Consult with the surgeon for specific alterations to the typical plan for care.
D) Alert the staff to anticipate altered anatomy,special supplies,and potential complications.