Abdominal Aortic Aneurysm Flashcards
About \_\_\_\_ of abdominal aortic aneurysms (AAAs) are found below the origin of the renal arteries. 23% 55% 75% 95%
95%
Potential complications of AAAs include all of the following except fistula formation embolization thrombosis erosion of adjacent structures hemiparesis
hemiparesis
The majority of AAAs are asymptomatic; these AAAs may be discovered during routine examination imaging studies non-stress testing a) and b) all of the above
a) and b)
routine examination
imaging studies
Risk factors for AAA are similar to those for other cardiovascular diseases. Which of the following is not a risk factor for AAA?
Elevated lipid levels
Family history
Hypotension
Smoking
Chronic obstructive pulmonary disease (COPD)
Hypotension
Diagnostic tests that may be performed during the diagnosis of AAA include all of the following except EEG abdominal X-ray angiography MRI CT scan
EEG
Signs and symptoms of AAA are present in only 40% of individuals with AAA. These signs and symptoms include groin pain palpable pulsating abdominal mass nausea and vomiting Chvostek’s sign early satiety a), c), and d) a), b), c), and e)
a)groin pain, b)palpable pulsating abdominal mass, c)nausea and vomiting, and e)early satiety
Surgical intervention (e.g., graft repair) is indicated for an AAA of ___ cm or larger.
- 5
- 5
- 5
- 75
- 6
5.5
The nurse should suspect that a female patient who is 62 years of age and is admitted to the hospital with tuberculosis may have experienced an AAA rupture when she develops
upper right quadrant pain, headache, and numbness in the extremities
shock, a pulsatile mass, and abdominal pain
nausea, fatigue, and upper left quadrant pain
headache, vomiting, and mid-back pain
shock, a pulsatile mass, and abdominal pain
A patient who was hospitalized with a penetrating arterial injury is at risk for AAA. The nurse should assess for which of the following? Cullen’s sign Chvostek’s sign Trousseau’s sign Rovsing’s sign
Cullen’s sign
A patient had a ruptured AAA. The nurse should expect which of the following results of his CBC? Increased potassium, Decreased potassium Increased Hct Decreased Hct
Decreased Hct
A patient needs to be monitored closely for AAA. The nurse should
observe for changes in blood pressure
assess for severe back, flank, or abdominal pain
monitor for seizures
test blood glucose levels hourly
a) and b)
a), c), and d)
a)observe for changes in blood pressure and b)assess for severe back, flank, or abdominal pain
A male patient has a small AAA that will be monitored until it becomes large enough for repair. The nurse should explain to the patient that he will need to have an X-ray every 3 months a CT scan every 3 months an ultrasound every 3 months an ultrasound every 6 months
an ultrasound every 6 months
The nurse who observes ecchymosis on a male patient’s flank should document in his medical records that he has a positive Cullen’s sign Turner’s sign Rovsing’s sign Trousseau’s sign
Turner’s sign
A female patient is receiving education about surgical options for AAA from the nurse, who should include educational information about laparoscopic surgery endovascular repair laser therapy all of the above
endovascular repair
A patient who is hospitalized for AAA had graft repair yesterday. The nurse should monitor for bleeding and infection paralysis and edema infection and headache paralysis and headache
bleeding and infection
