The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

I will walk 20 minutes every other day.

Instead of taking my car, I will ride my bike everywhere.

I am starting back to work as a grocery store stocker next week.

I am going to continue my marathon training tomorrow.

Answer and Explanation

The Correct Answer is A

A. I will walk 20 minutes every other day: This is correct. Walking is a safe, low-impact activity that promotes cardiovascular health without placing undue stress on the abdominal area, which is important for a patient with an AAA.
B. Instead of taking my car, I will ride my bike everywhere: Biking can be too strenuous and risky for someone with an AAA, as it may involve physical exertion and potential for trauma to the abdominal area.
C. I am starting back to work as a grocery store stocker next week: This job likely involves heavy lifting and significant physical activity, which is contraindicated for a patient with an AAA due to the risk of increased intra-abdominal pressure and potential aneurysm rupture.
D. I am going to continue my marathon training tomorrow: Marathon training is highly strenuous and can significantly increase blood pressure and stress on the abdominal region, posing a high risk of aneurysm rupture.

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Correct Answer is ["A","C","D"]

Explanation

A. Paresthesia: Numbness or tingling sensations (paresthesia) can occur due to decreased blood supply and nerve function.
B. Pruritus: Itching (pruritus) is not typically associated with arterial occlusion. It is more often related to skin conditions or allergies.
C. Pain: Pain is a hallmark symptom of arterial occlusion, often described as severe and sudden, due to tissue ischemia.
D. Pallor: Affected limbs or areas may appear pale (pallor) because of reduced blood flow.
E. Palpitations: Palpitations are not a direct symptom of arterial occlusion. They are more related to cardiac conditions.

A. Report a headache immediately. B. Heart palpitations are common. C. Monitor for bleeding gums. D. Rise slowly to prevent dizziness.

Correct Answer is D

Explanation

A. Report a headache immediately: Headaches are not a common side effect of propranolol and may not require immediate reporting unless they are severe or unusual in nature.
B. Heart palpitations are common: Beta blockers like propranolol generally help to control heart palpitations and irregular heartbeats rather than cause them.
C. Monitor for bleeding gums: This is not a typical side effect of propranolol. Bleeding gums might be more related to dental issues or other medications.
D. Rise slowly to prevent dizziness: Propranolol can cause orthostatic hypotension, which is a drop in blood pressure upon standing up. Patients should be advised to rise slowly to prevent dizziness or fainting, which is a common side effect of beta blockers.

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The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

Correct Answer is D

Explanation

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