Abdominal Aortic Aneurysm Flashcards, test questions and answers

Question 1

One-time screening for Abdominal Aortic Aneurysm by ultrasonography is recommended in what group?

Answer

Men ages 65 to 75 years who have ever smoked (100 cigarettes)
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Question 2

A nurse is caring for a client who is 48 hr post operative following an abdominal aortic aneurysm resection. Which of the following findings is the most urgent?

Answer

Absent dorsalis pedis pulse
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Question 3

A nurse is assisting in the car of a client who has an abdominal aortic aneurysm and is scheduled for surgery. The client vital signs are BP 160/98 mm Hg, HR 102/min, R 22/min, and SpO2 95%. Which of the following actions should the nurse take?

Answer

Administer antihypertensive medication for BP
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Question 4

patient comes to the hospital for repair of an abdominal aortic aneurysm. The repair is performed endovascularly. What codes are applicable? a. 441.3, 39.71 b. 441.4, 38.44 c. 441.3, 38.44 d. 441.4, 39.71

Answer

d. 441.4 (repair of an abdominal aortic aneurysm) 39.71 (endovascular implantation of other graft in abdominal aorta)
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Question 5

A nurse is assessing a patient who has an abdominal aortic aneurysm. Which the following manifestations of the nurse expect?

Answer

lower back discomfort -involves a widening, stretching, ballooning or aorta -back and abdominal pain indicate aneurysm is extending downward and pressing on lumbar spinal nerve roots, causing pain -nurse should auscultate for bruit heard over location of mass -pitting edema is manifestation of HF; not an assessment finding for abdominal aortic aneurysm
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Question 6

A 78-year-old client is scheduled for surgery to repair an abdominal aortic aneurysm. Which interventions should the nurse make a priority when planning this client’s care?

Answer

Preventing infection Promoting skin integrity Your answer is correct. Maintaining a normal body temperature Your answer is correct. Maximizing respiratory function (Lifespan considerations for an older client having surgery include maintaining skin integrity, preventing surgical infections, preventing the development of pneumonia, and maintaining a normal body temperature. Oral intake is not a specific lifespan consideration for an older client having surgery.)
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Question 7

a nurse is caring for a client following an abdominal aortic aneurysm resection. which of the following is the priority assessment for this client? -neck vein distention -bowel sounds -peripheral edema -urine output

Answer

urine output the greatest risk to this client is graft occlusion or rupture. therefore, monitoring urine output, which reflects blood flow to the kidneys, is the priority assessment.
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Question 8

A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? Midsternal chest pain Thrill Pitting edema in lower extremities Lower back discomfort

Answer

Lower back discomfort Abdominal aortic aneurysm involves a widening, stretching, or ballooning of the aorta. Back and abdominal pain indicate that the aneurysm is extending downward and pressing on lumbar spinal nerve roots, causing pain.
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Abdominal Aortic Aneurysm Flashcards, test questions and answers

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