In which of the following patients is the emergency department ...

[LCritchfi]

In which of the following patients is the emergency department staff most likely to suspect an abdominal aortic aneurysm?
 
  A)
  A 60-year-old client with diminished oxygen saturation, low red blood cell levels, and pallor
  B)
  A 70-year-old woman with jugular venous distention, shortness of breath, and pulmonary edema
  C)
  A 66-year-old client with facial edema, cough, and neck vein distention
  D)
  An 81-year-old man with acute cognitive changes as well as difficulty in speaking and swallowing

Question 2

During a routine physical examination of a 66-year-old woman, her nurse practitioner notes a pulsating abdominal mass and refers the woman for further treatment.
 
  The nurse practitioner is explaining the diagnosis to the client, who is unfamiliar with aneurysms. Which of the following aspects of the pathophysiology of aneurysms would underlie the explanation the nurse provides?
  A)
  Aneurysms are commonly a result of poorly controlled diabetes mellitus.
  B)
  Hypertension is a frequent modifiable contributor to aneurysms.
  C)
  Individuals with an aneurysm are normally asymptomatic until the aneurysm ruptures.
  D)
  Aneurysms can normally be resolved with lifestyle and diet modifications.

[Danny Ewald]

Answer to Question 1

Ans:
C

Feedback:

Facial edema, cough, and neck vein distention are associated with abdominal aortic aneurysms. Low red cells, pulmonary edema, and cognitive changes are not associated with abdominal aortic aneurysms.

Answer to Question 2

Ans:
B

Feedback:

Hypertension is associated with over half of aneurysms. They are not consequences of diabetes, and while some are asymptomatic in early stages, this is not necessarily the norm and does not necessarily culminate in a rupture. Aneurysms normally require surgical repair.

[LCritchfi]

Excellent

[laurnthompson]

TYSM