George Brown College Nursing
Test #3-Aneurysms, ICP-
Lewis CH 38 Exam
Questions Verified and
Provided with A+ Graded
Answers
,When discussing risk factor modification for a 63-year-old patient who has a 5-cm
abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient risk
factor?
a.
Male
gender b.
Turner syndrome
c.
Abdominal trauma
history d.
Uncontrolled hypertension
ANS: D
All of the factors contribute to the patient's risk, but only hypertension can potentially be
modified to decrease the patient's risk for further expansion of the aneurysm.
A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine
chest x-ray. When obtaining an admission history from the patient, it will be most
important for the nurse to ask about
a.
low back pain.
b.
trouble swallowing.
c.
abdominal tenderness.
d.
changes in bowel habits.
ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the
esophagus. The other symptoms will be important to assess for in patients with
abdominal aortic aneurysms.
, Several hours after an open surgical repair of an abdominal aortic aneurysm, the UAP
reports to the nurse that urinary output for the past 2 hours has been 40 mL. The nurse
notifies the health care provider and anticipates an order for a(n)
a.
hemoglobin count.
b.
additional antibiotic.
c.
decrease in IV infusion rate.
d.
blood urea nitrogen (BUN) level.
ANS: D
The decreased urine output suggests decreased renal perfusion, and monitoring of renal
function is needed. There is no indication that infection is a concern, so antibiotic
therapy and a WBC count are not needed. The IV rate may be increased because
hypovolemia
may be contributing to the patient's decreased urinary output.
Test #3-Aneurysms, ICP-
Lewis CH 38 Exam
Questions Verified and
Provided with A+ Graded
Answers
,When discussing risk factor modification for a 63-year-old patient who has a 5-cm
abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient risk
factor?
a.
Male
gender b.
Turner syndrome
c.
Abdominal trauma
history d.
Uncontrolled hypertension
ANS: D
All of the factors contribute to the patient's risk, but only hypertension can potentially be
modified to decrease the patient's risk for further expansion of the aneurysm.
A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine
chest x-ray. When obtaining an admission history from the patient, it will be most
important for the nurse to ask about
a.
low back pain.
b.
trouble swallowing.
c.
abdominal tenderness.
d.
changes in bowel habits.
ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the
esophagus. The other symptoms will be important to assess for in patients with
abdominal aortic aneurysms.
, Several hours after an open surgical repair of an abdominal aortic aneurysm, the UAP
reports to the nurse that urinary output for the past 2 hours has been 40 mL. The nurse
notifies the health care provider and anticipates an order for a(n)
a.
hemoglobin count.
b.
additional antibiotic.
c.
decrease in IV infusion rate.
d.
blood urea nitrogen (BUN) level.
ANS: D
The decreased urine output suggests decreased renal perfusion, and monitoring of renal
function is needed. There is no indication that infection is a concern, so antibiotic
therapy and a WBC count are not needed. The IV rate may be increased because
hypovolemia
may be contributing to the patient's decreased urinary output.
