What is the most serious, life-threatening complication of AAA and why?
What single problem mentioned at the beginning of this case study presents a risk for AAA
rupture? Why?
Rupture of the aneurysm: A ruptured aneurysm (as opposed to one with a slow leak) is usually rapidly fatal.
Risk for AAA rupture is evident in the statement, "He hasn't had a bowel movement for 3 days."
Straining to have a bowel movement (Valsalva maneuver) can cause a profound increase in intraabdominal
pressure that could result in rupture.
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The nursing faculty member explains to a class of nursing students the correct way to assist with perineal care (peri-care) after childbirth. Which action by a student nurse would warrant intervention by the faculty member?
A. Has woman squirt warm water toward the front of the perineum B. Instructs the woman to wash her hands prior to peri-care C. Removes the peri-pad from back to front and appropriately disposes of it D. Washes the hands before assisting woman with her peri-care
The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine, which is:
1. clay-colored stools. 2. jaundice. 3. high blood pressure. 4. tachycardia.
Benner offers another analytic approach for hermeneutic phenomenology. The interpretative analysis consists of how many interrelated processes?
A) 1 B) 2 C) 3 D) 4
The nurse administering oxygen to clients with respiratory disorders is careful to monitor concentrations to prevent oxygen toxicity. How does this adverse reaction manifest itself?
A) Changes in heart rate B) Changes in level of consciousness C) Changes in lung structure D) Changes in lung tissue