A client with a diagnosed popliteal artery aneurysm asks the nurse about treatment options. Whattreatment is considered the definitive therapy for popliteal artery aneurysms?
Endovascular stent graft placement
Medication management with anticoagulants
Surgical excision and graft placement
Conservative management with lifestyle changes
The Correct Answer is C
A) Incorrect - Endovascular stent graft placement is a treatment option for popliteal artery aneurysms, but it is not considered the definitive therapy for all cases.
B) Incorrect - Medication management with anticoagulants is not the definitive therapy for popliteal artery aneurysms. Anticoagulants may be prescribed to prevent clot formation, but they do not address the aneurysm itself.
C) Correct - Surgical excision and graft placement are considered the definitive therapy for popliteal artery aneurysms. This procedure involves removing the aneurysm and replacing it with a graft to restore proper blood flow.
D) Incorrect - Conservative management with lifestyle changes may be recommended in certain cases, but it is not the definitive therapy for popliteal artery aneurysms, especially when the aneurysm poses a significant risk of rupture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - The presence of a bruit (a turbulent blood flow sound) over the abdominal area is a priority finding when assessing for an AAA. It indicates possible turbulence caused by blood flow through the dilated artery and should be promptly reported for further evaluation.
B) Incorrect - Clubbing of the fingers is not a specific finding associated with AAA or peripheral vascular disorders. It may be related to respiratory or cardiac issues but is not relevant to this assessment.
C) Incorrect - Decreased urinary output may indicate kidney dysfunction or renal artery involvement in aneurysms, but it is not a priority finding compared to the presence of a bruit, which directly points to the aneurysm.
D) Incorrect - Cyanosis of the extremities may suggest compromised peripheral circulation, but it is not directly related to an AAA assessment. The presence of a bruit is more specific to aneurysm evaluation.
Correct Answer is B
Explanation
A) Incorrect - Avoiding showering or bathing for 24 hours after the procedure is unnecessary. Clients can usually shower the day after the angioplasty, but should avoid soaking the insertion site in water.
B) Correct - Keeping the insertion site dry and covered with a dressing is the appropriate wound care for the first 24 hours after peripheral angioplasty. This helps prevent infection and protect the site.
C) Incorrect - Cleaning the insertion site with hydrogen peroxide daily is not recommended, as it may delay wound healing. Instead, clients should follow the healthcare provider's instructions on wound care.
D) Incorrect - Rubbing the insertion site with a washcloth during showers is not advisable, as it may irritate the area and interfere with proper wound healing. The insertion site should be gently washed without scrubbing.
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