AA

Question 1

Aneurysm
a) define
b) true aneurysm?
c) false aneurysm?

Answer 1

a) permanent
localized outpouching
b) fusiform or saccular(asymmetrical)
involves all three layers
blood still flow
c) pseudoaneurysm
A partial disruption

Question 2

Aortic Dissection
a) define?
b) Type A?
c) Type B?

Answer 2

a) tear in the intima layer
crate false passageway for blood
b) ascending aorta
emargency!!!
c) descending aorta
medical management

Question 3

Risk factor

Answer 3

Older age
Male Gender
women has it more likely to rupture
Hypertension
atherosclerosis
CAD
Family History
Tobacco use
Trauma
Connective tissue disorders

Question 4

Risk facotr
a) Aneurysm?
b) Dissection?

Answer 4

a) Obesity
Hypercholesterolemia
b) Illicit drugs
-heroin, cocaine
Aortic disease
Prior heart surgery
Pregnancy

Question 5

Dx

Answer 5

Chest X-ray
ECG
CT or MRI
Angiography

Question 6

a) objective data
b) subjective data

Answer 6

a) vital signs
physical examination findings
laboratory results
b) patient’s pain level
their descriptions of symptoms

Question 7

Aneurysm
Manifestations
Thoracic

Answer 7

Asymptomatic
chest pain
JVD and facial edema
CLOT!!!
angina
Carotid artery obstruction- TIA
Laryngeal nerve impairment
coughing, SOB, hoarseness, dysphagia

Question 8

Aneurysm
Manifestations
Abdominal

Answer 8

Asymptomatic
back,abdominal,groin pain
Nausea
Weak pulses
Embolism- mottled feet and pedal edema
Most occur in infrarenal
Bruits auscultated over vasculature
Nerve compression

Question 9

Aneurysm
Interventions

Answer 9

Prevent rupture
For small aneurysms
Tobacco cessation
Antihypertensives (ACE inhibitor)
BP management
Statins
Gradual inc physical activity
Routine monitoring

Question 10

Aneurysm
Complication

Answer 10

Rapture!!
Hypovolemic shock!!!

Question 11

dissection
Type A

Answer 11

Thoracic aorta
Immediately surgical correction
Any dissection affects the ascending
More common than B

Question 12

Dissection
Manifestations
Type A

Answer 12

Severe chest pain
Hypotension
Neurological deficits
Murmur
Impaired coronary artery perfusion

Question 13

dissection
Type B

Answer 13

Any doesn’t affect the ascending
doesn’t involve the first part of the aorta in the front of the chest
Surgery may or may not be needed immediately
Usually a stent-graft device inserted

Question 14

Dissection
Manifestations
Type B

Answer 14

Hypotension
Back, abdominal, leg pain
Impaired perfusion of abdominal organs

Question 15

Dissection
Complications

Answer 15

Cardiac tamponade
Intrathoracic or intraabdominal hemorrhage
Organ ischemia and infarction
Severe blood loss and death

Question 16

Cardiac tamponade
a) what is it?
b) S/S

Answer 16

a) abnormal amounts of fluid accumulate in the pericardial sac
b) Hypotension
JVD
Muffled heart sounds
Tachycardia
Dec peripheral pulses

Question 17

Answer 17

Question 18

Answer 18

Question 19

a) A nurse should be concerned when pt complains? one day pre-ope of abdominal aortic aneurysm
b) A pt 2das post-op abdominal aortic aneurysm, what data immediate approach?

Answer 19

a) numbness and tingling of both feet
this indicate dec perfusion
b) Refused to take deep breaths and cough

Question 20

a) What s/s would suggest that the aneurysm had raptured who just admitted hospital?
b) What are the priority nursing interventions 8hr after abdominal aortic aneurysm rupture?
c) What is the first priority of care for a pt with suspected acute aortic dissection?

Answer 20

a) sudden, severe back pain and bruising along his flank(side)
b) Administering IV fluid and watching kidney function
c) Control BP