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 - Hypoglycemia is not a common complication of femoral artery catheterization. It is not directly related to the procedure or the femoral artery itself.
B) Incorrect - Hypothermia is not a typical complication of femoral artery catheterization. The procedure is typically performed under controlled environmental conditions.
C) Correct - Bleeding and hematoma at the insertion site are common complications of femoral artery catheterization. The nurse should closely monitor the insertion site for any signs of bleeding or swelling.
D) Incorrect - While elevated blood pressure can be a concern after some procedures, it is not a specific complication of femoral artery catheterization. The primary focus after the procedure is on monitoring the insertion site.
Correct Answer is A
Explanation
A) Correct - Checking for allergies to iodine or shellfish is a priority assessment after a peripheral arteriography because contrast dye containing iodine is used during the procedure. An allergic reaction to the dye can be life-threatening and requires immediate intervention.
B) Incorrect - Assessing for pedal pulses bilaterally is important in general, but it is not the priority assessment immediately after a peripheral arteriography.
C) Incorrect - Monitoring blood glucose levels may be relevant for clients with diabetes, but it is not the priority assessment after a peripheral arteriography.
D) Incorrect - Evaluating respiratory rate and oxygen saturation is essential in many post-procedure assessments, but it is not the priority immediately after a peripheral arteriography. The focus is on assessing for any immediate allergic reactions to the contrast dye.
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