Nursing Management: Vascular Disorders Test Bank
Chapter 38: Nursing Management: Vascular Disorders
Test Bank
MULTIPLE CHOICE
1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient risk factor?
a.
Male gender
b.
Turner syndrome
c.
Abdominal trauma history
d.
Uncontrolled hypertension
ANS: D
All of the factors contribute to the patient’s risk, but only hypertension can potentially be modified to decrease the patient’s risk for further expansion of the aneurysm.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine chest x-ray. When obtaining an admission history from the patient, it will be most important for the nurse to ask about
a.
low back pain.
b.
trouble swallowing.
c.
abdominal tenderness.
d.
changes in bowel habits.
ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the esophagus. The other symptoms will be important to assess for in patients with abdominal aortic aneurysms.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. Several hours after an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 40 mL. The nurse notifies the health care provider and anticipates an order for a(n)
a.
hemoglobin count.
b.
additional antibiotic.
c.
decrease in IV infusion rate.
d.
blood urea nitrogen (BUN) level.
ANS: D
The decreased urine output suggests decreased renal perfusion, and monitoring of renal function is needed. There is no indication that infection is a concern, so antibiotic therapy and a WBC count are not needed. The IV rate may be increased because hypovolemia may be contributing to the patient’s decreased urinary output.
DIF: Cognitive
Test Bank
MULTIPLE CHOICE
1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient risk factor?
a.
Male gender
b.
Turner syndrome
c.
Abdominal trauma history
d.
Uncontrolled hypertension
ANS: D
All of the factors contribute to the patient’s risk, but only hypertension can potentially be modified to decrease the patient’s risk for further expansion of the aneurysm.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine chest x-ray. When obtaining an admission history from the patient, it will be most important for the nurse to ask about
a.
low back pain.
b.
trouble swallowing.
c.
abdominal tenderness.
d.
changes in bowel habits.
ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the esophagus. The other symptoms will be important to assess for in patients with abdominal aortic aneurysms.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. Several hours after an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 40 mL. The nurse notifies the health care provider and anticipates an order for a(n)
a.
hemoglobin count.
b.
additional antibiotic.
c.
decrease in IV infusion rate.
d.
blood urea nitrogen (BUN) level.
ANS: D
The decreased urine output suggests decreased renal perfusion, and monitoring of renal function is needed. There is no indication that infection is a concern, so antibiotic therapy and a WBC count are not needed. The IV rate may be increased because hypovolemia may be contributing to the patient’s decreased urinary output.
DIF: Cognitive