A client with a known thoracic aortic aneurysm (TA

Perform deep breathing exercises

Take an over-the-counter painkiller

Lie down and rest

Seek immediate medical attention

Answer and Explanation

The Correct Answer is D

A) Incorrect - Deep breathing exercises are not appropriate for sudden, severe, tearing chest pain in a client with a known TAA. This type of pain may indicate aortic dissection, a medical emergency.

B) Incorrect - Taking an over-the-counter painkiller may temporarily relieve the pain, but it will not address the underlying issue. The priority action is to seek medical attention immediately.

C) Incorrect - Lying down and resting is not appropriate for sudden, severe, tearing chest pain associated with a TAA. This type of pain requires urgent evaluation by healthcare professionals.

D) Correct - Seeking immediate medical attention is crucial for a client experiencing sudden, severe, tearing chest pain associated with a TAA. This presentation may indicate aortic dissection, a life-threatening complication.

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Correct Answer is B

Explanation

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.

A. Monitoring for signs of stroke B. Assessing the surgical incision for bleeding C. Administering pain medications D. Encouraging coughing and deep breathing

Correct Answer is A

Explanation

A) Correct - Monitoring for signs of stroke is the priority during the immediate postoperative period for a client who underwent carotid artery endarterectomy. The procedure involves removing plaque buildup from the carotid artery, which can potentially dislodge and cause a stroke.

B) Incorrect - Assessing the surgical incision for bleeding is important, but it is not the priority when compared to monitoring for signs of stroke after a carotid endarterectomy.

C) Incorrect - Administering pain medications is essential for the client's comfort, but it is not the priority during the immediate postoperative period when there is a higher risk of stroke.

D) Incorrect - Encouraging coughing and deep breathing is a standard postoperative nursing intervention, but it is not the priority in this situation. The focus should be on monitoring for stroke symptoms.

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A client with a known thoracic aortic aneurysm (TA

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client post-endarterectomy for carotid artery stenosis. What is the priority nursing intervention during the immediate postoperative period?

Correct Answer is A

Explanation

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