Question

The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?

Pedal pulses regular
Urinary output 20mL in the past hour
Blood pressure 108/50
Oxygen saturation 97%

Answer 1

The urinary output of 20mL in the past hour following an abdominal aneurysm repair requires further investigation, as it might indicate inadequate perfusion to the kidneys or other postoperative complications.

Step-by-step explanation:

Among the findings listed, the urinary output of 20mL in the past hour would require further investigation after abdominal aneurysm repair. A low urine output could indicate kidney issues or inadequate blood flow post-surgery, which can be a sign of complications.

For adults, normal urine output is typically about 0.5 mL/kg/hour. After major surgery, such as an abdominal aneurysm repair, it is crucial to monitor for adequate perfusion, including evaluating urinary output as an indicator of kidney perfusion and overall circulation. A finding of only 20 mL for one hour post-operation could suggest that the perfusion to the kidneys is compromised, potentially due to hypotension, blood loss, or other circulatory issues.

The other findings, including regular pedal pulses, a blood pressure of 108/50, and an oxygen saturation of 97%, while needing monitoring, do not immediately suggest the same level of urgency as the urinary output concern.