Aneursym Flashcards

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1
Q

What artery is widened in a thoracic aneurysm?

A

The aorta

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2
Q

Can an aneurysm result from an infection?

From syphilis?

A

Yes, yes

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3
Q

The most common symptom of abdominal aneurysm is______.

A

A pulsating massive above the umbilicus

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4
Q

Which aneurysm is most likely to have no symptoms?

A

Abdominal is most often “silent”

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5
Q

An aneurysm is abnormal______ of the wall of a(n) (artery or vein)

A

Widening ( it is also weakening), artery

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6
Q

Which vital signs are most important to measure in clients with aneurysm?

A

The pulse and blood pressure

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7
Q

An aneurysm will most affect which of the following……the blood pressure or the pulse?

A

The pulse-many times the aneurysm will rupture and much blood will be lost before the blood pressure starts to change

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8
Q

What activity order is the client with an aneurysm supposed to have?

A

BEDREST- do not get these people up

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9
Q

If the client with aneurysm is physically unstable, should encourage turning, coughing, and deep breathing?

A

NO, unless the client is stable

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10
Q

What class of drugs is the client with an aneurysm most likely to be on??

A

Anti hypertensives

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11
Q

What is the BIG danger with aneurysm of any type?

A

Rupture- leads to shock or death

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12
Q

If an aneurysm ruptured how would you know it?

A

Decrease LOC (restlessness), tachycardia (increase pulse rate), hypotension (these are signs of shock)

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13
Q

If an aneurysm rupture what is the #1 priority?

A

Get them in an operating room ASAP!

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14
Q

Is there anything that can be done for the client with a ruptured aneurysm before they get to the operating room?

A

Yes- if available, you can get them into anti-shock trousers but not if this causes a delay in getting them to the operating room.

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15
Q

The post-op thoracic aneurysm is most likely to have which type of tube?

A

Chest tube, because the chest wal was opened

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16
Q

The post op abdominal aneurysm repair client is most likely to have which type of tube?

A

NG tube for decompression of bowel

17
Q

If you care for a client who is post op for a repair of a femoral/popliteal resection what assessment must you make every hour for the first 24 hrs?

A

Check the distal extremity for color, temperature, pain and pulse-also must document