A client is admitted with abdominal aortic aneurysm. For which of the following complications should the nurse be concerned?

1. Hypotension
2. Cardiac arrhythmias
3. Aneurysm rupture
4. Loss of bowel sounds


3
Aneurysm rupture is a life-threatening occurrence and the highest risk for the client until it can be repaired. Hypotension, cardiac arrhythmias, and loss of bowel sounds are all significant potential complications; however, they are not life threatening.

Nursing

You might also like to view...

The nurse is concerned that specific families in a community are at increased risk for transgenerational violence. Which family situation exemplifies the transgenerational theory of violence?

1. Family with a daughter who has severe arthritis and finds it increasingly difficult to deal with her forgetful, frail mother 2. Family with a daughter who abuses alcohol whose father was a chronic alcoholic and is currently suffering from cirrhosis 3. Family with a daughter who is working two jobs with significant debts and cares for her father, who is becoming more confused and dependent 4. Family with a son who, as a teenager and young adult, had serious arguments with both of his parents, who were emotionally and sexually abusive to him

Nursing

Which coanalgesics should the nurse expect to be prescribed for pruritus? (Select all that apply.)

a. Naloxone (Narcan) b. Inapsine (Droperidol) c. Hydroxyzine (Atarax) d. Promethazine (Phenergan) e. Diphenhydramine (Benadryl)

Nursing

What was the rationale for the 1992 changes in the Food and Drug Administration's regulations to permit accelerated approval of drugs for the treatment of life-threatening or severely debilitating disease?

a. To allow for marketing before completion of phase II of drug trials b. To ensure that the unknown risks associated with early approval are balanced by the need for effective drugs c. To change the rules because existing FDA regulations were too stringent for potentially effective drugs d. To accelerate approval of new drugs to give prescribers the option of using them without research findings

Nursing

The nurse obtains the following results after measuring the client's vital signs: Blood pressure, 180/100; pulse, 82 beats per minute; respiratory rate, 16 breaths per minute; and rectal tempera-ture, 37.5°C

Which of the following actions should the nurse take? a. Retake the blood pressure. b. Retake the temperature. c. Report all of the findings immediately. d. Record the findings as within normal limits.

Nursing