NURSING 210-Chapter 38: Nursing Management: Vascular Disorders My Nursing Test Banks

NURSING 210-Chapter 38: Nursing Management: Vascular Disorders My Nursing Test Banks Chapter 38: Nursing Management: Vascular Disorders My Nursing Test Banks Lewis: Medical-Surgical Nursing, 8th Edition Chapter 38: Nursing Management: Vascular Disorders Test Bank MULTIPLE CHOICE 1. When discussing risk factor modification for a 60-year-old patient who has a 4-cm abdominal aortic aneurysm, the nurse will focus patient teaching on which of these patient risk factors? a . Male gender b . Marfan syndrome c . Abdominal trauma history d . Uncontrolled hypertension ANS: D All of the factors contribute to the patients risk, but only the hypertension can potentially be modified to decrease the patients risk for further expansion of the aneurysm. DIF: Cognitive Level: Application REF: 867-869 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 2. A patient has a 5-cm thoracic aortic aneurysm that was discovered during a routine chest xray. When obtaining a nursing history from the patient, it will be most important to ask about a . back or lumbar pain. b . difficulty 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. DIF: Cognitive Level: Application REF: 868-869 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. Several hours after an open surgical repair of an abdominal aortic aneurysm, the patient develops a urinary output of 20 mL/hr for 2 hours. The nurse notifies the health care provider and anticipates orders for a . an additional antibiotic. b . a white blood cell (WBC) count. c . a decrease in IV infusion rate. d a blood urea nit