Which risk factor should the nurse focus on when teaching a patient who has a 5-cm abdominal aortic aneurysm?

Abdominal trauma history

Uncontrolled hypertension

Turner syndrome

Male gender

Answer and Explanation

The Correct Answer is B

Rationale:

A. Abdominal trauma history: While abdominal trauma can cause acute vascular injury, it is not considered a major contributing factor to the development or progression of an abdominal aortic aneurysm (AAA). AAAs are primarily related to chronic vascular changes rather than isolated trauma events.

B. Uncontrolled hypertension: Elevated blood pressure increases stress on the arterial wall, accelerating dilation and risk of rupture in an aneurysm. Controlling hypertension is a key teaching focus for clients with AAA to reduce life-threatening complications.

C. Turner syndrome: Turner syndrome is associated with congenital cardiovascular abnormalities, such as coarctation of the aorta or bicuspid aortic valve, but it is not a primary risk factor for abdominal aortic aneurysm formation.

D. Male gender: Being male increases the likelihood of developing an AAA, but gender is a nonmodifiable risk factor. Education should focus on modifiable factors, such as blood pressure control, which have a direct impact on aneurysm progression and rupture risk.

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Correct Answer is A

Explanation

Rationale:

A. Graham crackers: A serving of graham crackers provides about 15 g of fast-acting carbohydrates, which is the recommended initial treatment for mild hypoglycemia in a conscious client. This amount is effective in raising blood glucose quickly and safely.

B. 1 tsp sugar: While sugar contains glucose, 1 teaspoon provides only about 4 g of carbohydrate, which is not enough to adequately correct hypoglycemia. The goal is to administer 15 g of carbohydrates to promptly raise blood glucose.

C. 4 oz diet soda: Diet soda contains artificial sweeteners rather than carbohydrates, so it does not raise blood glucose. Giving this would not address the client’s hypoglycemia and could delay proper treatment.

D. 4 oz skim milk: Skim milk contains some carbohydrate in the form of lactose, but 4 oz provides only about 6 g. This is insufficient to meet the recommended 15 g of carbohydrate needed for hypoglycemia correction.

A. Have the patient drink orange juice B. Give 1 dose of glucagon SQ C. Give the patient 3 sugar tablets D. Give the patient 1 amp of IV Dextrose 50%

Correct Answer is A

Explanation

Rationale:

A. Have the patient drink orange juice: Since the patient is responsive and able to swallow safely, the priority is to provide a fast-acting carbohydrate like orange juice. This quickly raises blood glucose without invasive interventions.

B. Give 1 dose of glucagon SQ: Glucagon is indicated for severe hypoglycemia when the patient is unresponsive or unable to swallow. It is not the first-line intervention for a responsive patient.

C. Give the patient 3 sugar tablets: This is also an appropriate oral option for mild to moderate hypoglycemia, but orange juice works faster because it is liquid and more rapidly absorbed.

D. Give the patient 1 amp of IV Dextrose 50%: IV dextrose is reserved for severe hypoglycemia in patients who are unconscious or unable to take oral glucose safely. It is not necessary in this case since the patient is alert and can take oral carbs.

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Which risk factor should the nurse focus on when teaching a patient who has a 5-cm abdominal aortic aneurysm?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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