A client has been diagnosed with a small asymptomatic abdominal aortic aneurysm (AAA). The client asks the nurse about treatment options. What is the most appropriate response by the nurse?
"Surgical repair is the only treatment option for AAA."
"We will closely monitor the aneurysm size and growth regularly."
"You need to start taking blood-thinning medications immediately."
"Endovascular repair is the best treatment for small AAAs."
The Correct Answer is B
A) Incorrect - While surgical repair is an option for larger or symptomatic AAAs, it is not the only treatment option for small, asymptomatic AAAs.
B) Correct - For small asymptomatic AAAs, close monitoring of the aneurysm size and growth is a common approach. The size and rate of growth will determine the appropriate treatment plan.
C) Incorrect - Blood-thinning medications are not the standard treatment for small asymptomatic AAAs. These medications are generally used for other cardiovascular conditions.
D) Incorrect - Endovascular repair may be an option for some AAAs, but it is not the best treatment for all cases, especially small, asymptomatic ones. The appropriate treatment plan will depend on the client's specific circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect - Thrombosis (formation of a blood clot within the vessel) is a potential complication of various peripheral vascular aneurysms, including popliteal artery aneurysms.
B) Incorrect - Embolization (dislodgment of a blood clot or debris) is a potential complication of various peripheral vascular aneurysms, including popliteal artery aneurysms.
C) Correct - Venous stasis (poor venous blood flow) is a unique complication of popliteal artery aneurysms. The aneurysm can compress surrounding veins, leading to venous stasis and its consequences.
D) Incorrect - Atherosclerosis (build-up of plaque within the artery) is a general complication of many peripheral vascular disorders, not unique to popliteal artery aneurysms.
Questions
Correct Answer is D
Explanation
A) Incorrect - While angioplasty may be effective for some cases of PAD, it is not always the best treatment option and may not be suitable for everyone.
B) Incorrect - Surgical bypass grafting is an option for severe cases of PAD, but it may not be the most effective treatment for all clients.
C) Incorrect - Amputation is considered a last resort for PAD and is only considered when all other treatment options have been exhausted and the limb is at risk for gangrene or life-threatening complications.
D) Correct - Medical management with lifestyle changes, such as quitting smoking, controlling blood pressure and cholesterol levels, and regular exercise, is often the first-line treatment for PAD. This approach aims to improve blood flow and manage symptoms before considering more invasive interventions.
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