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 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.
Questions
Correct Answer is C
Explanation
A) Incorrect - Arterial blood gas levels are important for assessing respiratory status but are not specifically related to monitoring the success of peripheral artery bypass surgery.
B) Incorrect - Central venous pressure (CVP) monitoring is typically not necessary for clients who have undergone peripheral artery bypass surgery. It is used to assess fluid volume status in critical care settings.
C) Correct - Assessing peripheral pulses distal to the surgical site is crucial in monitoring the success of peripheral artery bypass surgery. Improved blood flow should result in stronger and more palpable pulses in the affected limb.
D) Incorrect - Monitoring abdominal girth is not directly related to peripheral artery bypass surgery. It may be relevant for assessing other conditions, but it does not specifically monitor the success of the procedure.
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