Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
TL AAA
Abdominal Aortic Aneurysm (HESI)
| Question | Answer |
|---|---|
| Define AAA (abdominal aortic aneurysm). | dilatation of the abdominal aorta caused by an alteration in the integrity of its wall |
| What is the most common cause of AAA? | Atherosclerosis |
| AAA is a late manifestation of what sexually transmitted disease? | Syphilis |
| What is the end result of an untreated abdominal aortic aneurysm? | Rupture/death |
| What are the most frequent symptoms associated with abdominal aortic aneurysm? | Mostly asymptomatic; abdominal pain; low back pain; feeling one’s heart beating |
| Clients taking which type of drug are at increased risk for abdominal aortic aneurysm? | Antihypertensives |
| The client is admitted complaining of chest pain and terrible tearing sensation in his chest. What condition might you suspect? | Dissecting aortic aneurysm |
| What are the symptoms of a rupture of an aortic aneurysm? | hypovolemic or cardiogenic shock with sudden, severe abdominal pain |
| Which assessments are necessary in the first few hours for the patient with a dissecting aortic aneurysm? | Vital signs Q hour, Neurologic vital signs, respiratory status, urinary output, peripheral pulses |
| What is the nurse likely to find on assessment of a patient with an abdominal aortic aneurysm? | bruit over the abdominal artery, pulsation in upper abdomen, patient report of abdominal or lower back pain, |
| What diagnostic tests could confirm the diagnosis of abdominal aortic aneurysm if the aneurysm is calcified? | abdominal radiograph (aortogram, angiogram, abdominal ultrasound) |
| What are several applicable nursing diagnoses for the patient with AAA? | Activity intolerance, Impaired skin integrity, anxiety |
| What nursing interventions are required for the patient with an aortic aneurysm (4 important assessments)? | regular assessment of all peripheral pulses and vital signs; look for signs of occlusion after graft; watch for signs of kidney trouble; Observe for postoperative ileaus |
| Name all the peripheral pulses that a nurse would regularly check for the patient with abdominal aortic aneurysm. | Radial, femoral, popliteal, posterior tibial, dorsalis pedis |
| After the placement of an aortic graft the nurse should observe for signs of occlusion. What are the signs of occlusion? | changes in pulses; severe pain; cool to touch below graft; white or blue extremities |
| The kidneys are at risk for damage during grafting of the Aorta because the large arteries are clamped off. What signs would alert the nurse to this potential complication? | Output < 30ml/hr; Dark urine; Elevated BUN and Creatinine |
| How often should BUN and creatinine levels be checked post surgery for AAA? | daily |
| What are the normal levels for BUN, creatinine, and the ratio of BUN to creatinine? | BUN 10 to 20 mg/dl; creatinine 0.6 to 1.2 mg/dL; BUN:Creatinine = 20:1 |
| What is the purpose of an NG tube for 1-2 days after surgical repair of AAA? | prevent postoperative ileus |
| What assessment does the nurse perform to monitor for postoperative ileus? - At what frequency? | bowel sounds every shift |
Created by:
Perseverandovercome
Popular Nursing sets