Nursing CSC

aneurysm with an endoluminal graft, the patient is unable to move his lower extremities.The nurse should first a.Activate stroke team and prepare to do an urgent (STAT) computed tomography (CT) scan b. Prepare to return to surgery for exploration of femoral artery occlusion c. Call surgeon to obtain a neurology consultation in the morning d. Prepare for lumbar drain insertion to remove cerebrospinal fluid (CSF) A postoperative patient who had un- dergone coronary artery bypass graft and ventricular aneurysm repair has a 15-beat run of ventricular tachycardia. The most likely cause of the dysrhythmia is a. Irritability of the ventricle from the aneurysm repair b. Spasm of the right coronary artery graft c. Potassium 4.8 mEq/dL and magne- sium 2.1 mEq/L D Spinal cord ischemia is a complication from thoracic aneurysm repair for both open and endoluminal repair.Spinal cord ischemia results from increased cere- bral spinal pressure that compresses the spinal nerves. Untreated spinal cord is- chemia can lead to paraplegia. It is im- portant to recognize the signs of spinal cord ischemia (loss of lower extremity movement) promptly. Immediate in- sertion of a spinal drain can reverse the spinal cord ischemia and prevent paraplegia. Bilateral leg paralysis is not typically an initial symptom of stroke (A). Signs of femoral artery occlusion (B) are the 5 Ps: pulselessness, pallor, pain, paresthesias, and paralysis. These symptoms would be unilateral, not bilat- eral. Immediate insertion of a spinal drain is needed; waiting until morning for the consultation (C) wou