After aneurysm repair, which assessment is the priority to monitor?

• A. Edema of the hands.
• B. Lung auscultation.
• C. Pedal pulses and limb perfusion.
• D. Visual acuity.

Answer: (C)

After aneurysm repair, the most important thing to monitor is whether blood is reaching the legs. The graft can affect distal blood flow, so checking pedal pulses and limb perfusion directly indicates graft patency and identifies limb ischemia early. Signs like weak or absent leg pulses, cool or pale skin, delayed capillary refill, or new leg pain signal compromised perfusion and require immediate action.

Edema of the hands isn’t a reliable indicator of graft function. Lung sounds matter for respiratory status but don’t reflect the success of the vascular repair. Visual acuity isn’t related to this postoperative concern. Thus, prioritizing distal perfusion assessment best targets the critical complication risk after aneurysm repair.