Cardiac-Vascular Nursing Exam Prep II

Category - AACN Cardiac Vascular Nursing Practice Test

A patient has been diagnosed with aortic aneurysm of abdominal aorta having a diameter of 3.5 cm. What advice should the nurse give this patient about follow-up?
  1. Come for follow up every year
  2. Come for follow up after 5 years
  3. Come for follow up every 2-3 years
  4. No need to come for follow up
Explanation
Answer- A - The nurse should advise the patient with abdominal or thoracic of size 3 to 4 cm to come for follow up every year. For patients with an abdominal or thoracic aortic aneurysm with a diameter less than 3 cm without symptoms, follow-up screening should be conducted within 5 to 10 years. For patients with an aorta of 3 to 4 cm in diameter, follow-up screening should be performed on a yearly basis. For patients with a diameter of greater than 4 cm, careful follow-up needs to be performed on a bi-yearly basis. If a patient presents with an aorta with a diameter greater than 5 cm, surgery is recommended, which would include abdominal or open chest repair.
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