NSG 420 Exam Ch 37 (Complete And Verified Study material) (17pages) LEARNEXAMS

1. 1. Which risk factor should the nurse focus on when teaching a patient whohas a 5-cm abdominal aortic aneurysm? a. Male gender b.Turner syndrome c.Abdominal trauma history d. Uncontrolled hypertension: Answer D All the factorscontribute to the patient's risk, but only hypertension can potentially be modified todecrease the patient's risk for further expansion of the aneurysm. 2. 2. Which finding on a patient's nursing admission assessment is congruentwith the initial medical diagnosis of a 6-cm thoracic aortic aneurysm? a. Lowback pain b.Trouble swallowing c.Abdominal tenderness d.Changesin bowelhabits: Answer B Difficulty swallowing may occur with a thoracic aneurysm becauseof pressure on the esophagus. The other symptoms will be important to assess forin patients with abdominal aortic aneurysms 3. 3. Several hours after a patient had an open surgical repair of an abdominalaortic aneurysm, the UAP reports to the nurse that urinary output for the past2 hours has been 45 mL.What should the nurse anticipate will be prescribed? a. Hemoglobin count b. Increased IV fluids c. Additional antibiotics d. Serumcreatinine level: Answer B 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