A patient comes into the clinic complaining of a new onset of ...

[asmith134]

A patient comes into the clinic complaining of a new onset of hoarseness. What additional assessment findings should the nurse use to suspect that this patient is experiencing a thoracic aneurysm?
 
  Select all that apply.
 
  1. brassy cough
  2. lumbar back pain
  3. edema of the face
  4. distended neck veins
  5. absent pulses in the wrists

Question 2

The home care nurse instructs a patient with peripheral atherosclerosis on foot care. Which observations indicate that teaching has been effective?
 
  Select all that apply.
 
  1. The patient uses a razor to cut the toenails.
  2. The patient walks barefoot in the bedroom.
  3. The patient washes feet and legs with warm water.
  4. The patient applies powder to the feet after a shower.
  5. The patient inspects feet and legs each day with a mirror.

[dellikani2015]

Answer to Question 1

Correct Answer: 1, 3, 4
Manifestations of a thoracic aneurysm include a brassy cough, facial edema, and distended neck veins. Lumbar pain is associated with an abdominal aneurysm. Absent pulses in the wrists are associated with an aortic aneurysm.

Answer to Question 2

Correct Answer: 3, 4, 5
Foot care for the patient with peripheral atherosclerosis includes washing the feet and legs with warm water, applying powder to the feet after a shower, and inspecting the feet and legs each day with a mirror. A professional foot care provider should trim toenails. The patient should be instructed always to wear shoes and not to go barefoot.

[asmith134]

Thanks for the timely response, appreciate it

[juliaf]

Gracias!