Page 1726 - Saunders Comprehensive Review For NCLEX-RN

d. Assess sensation and motion of all
extremities and notify the PHCP if
deficits are noted, which can occur
because of a lack of blood supply to the
spinal cord during surgery.
e. Monitor respiratory status and
auscultate breath sounds to identify
respiratory complications.
f. Encourage turning, coughing, and deep
breathing while splinting the incision.
g. Prepare the client for discharge by
providing instructions regarding pain
management, wound care, and activity
restrictions.
h. Instruct the client not to lift objects
heavier than 15 to 20 lb for 6 to 12
weeks.
i. Advise the client to avoid activities
requiring pushing, pulling, or
straining.
j. Instruct the client not to drive a vehicle
until approved by the PHCP.
XIX. Embolectomy
A. Description
1. Embolectomy is removal of an embolus from an
artery, using a catheter.
2. A patch graft may be required to close the artery.
B. Preoperative interventions
1. Obtain a baseline vascular assessment.
2. Administer anticoagulants as prescribed.
3. Administer thrombolytics as prescribed.
4. Place a bed cradle on the bed to keep the weight of
linens from causing pain and pressure.
5. Avoid bumping or jarring the bed.
6. Maintain the extremity in a slightly dependent
position.

C. Postoperative interventions

1. Assess cardiac, respiratory, and neurological status.
2. Monitor affected extremity for color, temperature, and
pulse.
3. Assess sensory and motor function of the affected
extremity.
4. Monitor for signs and symptoms of new thrombi or
emboli.
5. Administer oxygen as prescribed.
6. Monitor pulse oximetry.
7. Monitor for complications caused by reperfusion of

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