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OR Nurse:
doi: 10.1097/01.ORN.0000430662.00122.18
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Care of the endovascular aneurysm repair patient with an endoleak

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INSTRUCTIONS Care of the endovascular aneurysm repair patient with an endoleak


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Care of the endovascular aneurysm repair patient with an endoleak

GENERAL PURPOSE: To provide nurses with information about the care of EVAR patients with an endoleak. LEARNING OBJECTIVES: After reading the preceding article and taking this test, you should be able to: 1. Discuss perioperative care of the patient undergoing an aneurysm repair. 2. Describe the different types of endoleaks. 3. Discuss intervention for endoleaks.

1. Unlike an abdominal aneurysm, a thoracic aneurysm

a. isn't an aortic aneurysm.

b. is usually smaller.

c. repair requires cardiac surgery standby.

d. can't be repaired endovascularly.

2. Renal impairment in this patient population

a. isn't a concern for providing nursing care.

b. isn't a concern for anesthetic medication excretion.

c. isn't a concern for radiographic intravenous contrast media excretion.

d. should be thoroughly reviewed preoperatively.

3. Which of the following can hinder vascular access to repair an aneurysm?

a. past interventional procedures' closure devices

b. past thoracic surgeries

c. past orthopedic surgeries

d. renal impairment

4. Preoperatively, the patient should be instructed to take all prescribed

a. medications as usual.

b. diabetes medications.

c. anticoagulants.

d. cardiac medications except anticoagulants.

5. Which statement is correct about endoleaks?

a. They are a comparatively rare complication of endovascular repair.

b. They are a complication that allows blood to flow into the aneurysmal sac.

c. They are a complication that allows blood to flow outside of the aneurysmal sac.

d. There are three different types of endoleaks.

6. Attachment problems of the stent graft at the proximal fixation site cause which type of endoleak?

a. Ia

b. Ib

c. Ic

d. II

7. During the procedure, which of the following diagnostic tests, may be done to evaluate stent graft placement?

a. Doppler ultrasound

b. CT scan

c. Femoral X-ray

d. Angiogram

8. Endotension refers to

a. an endoleak that occurs during initial implantation.

b. an attachment problem of the stent graft at the distal fixation site.

c. an endoleak with antegrade flow through collateral vessels.

d. an aneurysmal sac that continues to enlarge without an apparent leak.

9. Which statement is correct about type I endoleaks?

a. They account for about 50% of EVAR endoleaks.

b. They usually resolve on their own.

c. They are usually treated as soon as they are discovered.

d. Angioplasty is used as the last resort to treat them.

10. Which type of endoleak is caused by retrograde flow through collateral vessels into the perigraft space?

a. I

b. III

c. II

d. IV

11. Endoleaks are treated if the aneurysmal sac has persisted without decreasing in size

a. within 24 hours.

b. within 1 month.

c. within 6 months.

d. in more than 6 months.

12. Compared to stainless steel coils, platinum coils used to treat endoleaks

a. form a tighter plug.

b. produce less artifact in radiographic follow-up.

c. are stiffer.

d. are a looser-fitting coil.

13. A type III endoleak is also known as

a. device failure.

b. retrograde flow.

c. endotension.

d. pseudoleak.

14. Because of the advancement in endovascular stent grafts, which type of endoleak is no longer common?

a. I

b. III

c. IV

d. V

15. Which statement is correct about a type IV endoleak?

a. it's a device failure.

b. it's due to the nature of the device material.

c. It usually occurs weeks after placement.

d. It will not resolve on its own.

16. Which isn't one of the three basic principles of radiation safety?

a. shielding

b. distance

c. dose

d. time

17. With regard to radiation safety, shielding refers to

a. protective gear such as lead gloves.

b. the distance from where the radiation is emitted.

c. use of radiation badges.

d. time limits on exposure.

18. Patients should be instructed that postoperative radiographic follow-up will be required

a. for 3 months.

b. for 6 months.

c. for 1 year.

d. lifelong.

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