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RN Nursing · Pathophysiology · Practice question

Vascular spasm helps surgeons locate and tie vessels.

Answer & explanation

Correct: True

This statement is true. Vascular spasm is the immediate, reflex vasoconstriction that occurs when a blood vessel is damaged or cut. When a vessel is transected or injured, the smooth muscle in its wall contracts reflexively, causing the vessel to narrow and retract. This spasm significantly reduces blood flow through the damaged vessel and can temporarily halt bleeding. Surgeons take advantage of this physiological response because the vasoconstriction causes cut vessels to pull back and become more visible at the wound edges, making it easier to identify them, clamp them, and apply ligatures or sutures to tie them off. Without vascular spasm, vessels would remain more flaccid and difficult to locate within surrounding tissue. This reflex is triggered by both direct smooth muscle injury and neurogenic reflexes, as well as by chemicals released from damaged cells and platelets. The degree of vascular spasm is proportional to the severity of the injury — a completely severed vessel may spasm so effectively that bleeding is markedly reduced. This phenomenon is a normal and clinically useful component of the hemostatic process, and understanding it helps explain why surgical bleeding can sometimes decrease rapidly after vessel transection.

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