PREPARATION AND SOLUTION GUIDE
◉ 9. Patient education is very important for individuals who have
AAA. The patient and their family should be taught the importance
of follow-up and the management of which of the following? Select
all that apply.
1. Hypertension
2. Hypercholesterolemia
3. Smoking
4. Chondromalacia
5. Pain. Answer: 9. Answer: 1, 2, 3, 5
Page: 220, 221
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1.
Education about hypertension management is important for
patients with AAA. Antihypertensive agents are used to reduce
tension on the vessel wall in patients with AAAs who have elevated
blood pressure.
2.
,Patients with AAA need to learn about control of
hypercholesterolemia (also called high cholesterol).
Hypercholesterolemia is characterized by high serum cholesterol
levels and premature coronary atherosclerosis.
Hypercholesterolemia is one of the factors promoting the
arteriosclerotic process and is a major cause of aortic aneurysm.
3.
Smoking cessation should be considered by patients with AAA.
Smoking appears to increase the risk of aortic aneurysms. Smoking
can be damaging to the aorta and weaken the aorta's walls.
4.
Chondromalacia is a pain in the knee and has no relationship to AAA.
5.
Pain is the most common symptom of an AAA. Pain associated with
an AAA may be in the abdomen, chest, lower back, or groin area. The
pain may be severe or dull. Sudden, severe pain in the back or
abdomen may mean the aneurysm is about to rupture.
◉ 10. AAA is mostly atherosclerotic in nature, but can also be caused
by trauma, infection, and inflammation. Which of the following is a
true statement regarding the tendency to develop AAA? Select all
that apply.
1. There is no dominant ethnic group that develops AAA.
2. Caucasians have a higher risk of developing AAA.
,3. Women have a higher risk of developing AAA.
4. There is a familial history associated with AAA development.
5. AAA is the 13th leading cause of death in the United States..
Answer: 10. Answer: 1, 4, 5
Page: 216
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1.
There is no dominant ethnic group that develops AAA, but there is a
familial history associated with AAA development.
2.
There is no dominant ethnic group that develops AAA.
3.
Onset occurs around age 50 years for men and 60 years for women.
Incidence steadily increases with age and peaks at age 80 years. AAA
is five times more likely in men than in women.
4.
There is no dominant ethnic group that develops AAA, but there is a
familial history associated with AAA development.
5.
According to studies, AAAs are the 13th leading cause of death in the
United States. Mortality rates for ruptured aneurysms are 70% to
, 90% compared with 5% operative mortality for elective open
surgical repair, and 2% to 3% for endovascular stent AAA exclusion.
◉ 11. In treating AAA, arterial monitoring is recommended. Which
of the following IV
antihypertensive agents should be used to rapidly and consistently
maintain blood pressure in the
mean arterial pressure ranges? Select all that apply.
1. Nicardipine
2. Sertraline
3. Esmolol
4. Nitroglycerin
5. Carbidopa. Answer: 11. Answer: 1, 3, 4
Page: 217
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1.
Nicardipine is an IV antihypertensive agent that should be used to
rapidly and consistently maintain blood pressure in mean arterial
pressure ranges.
2.