The nurse is providing care for a patient admitted with low back pain who recently returned from an abdominal computed tomography (CT) scan that revealed an aortic aneurysm
Which of the following would require an immediate intervention by the nurse?
a. Patient reports a sense of abdominal fullness after eating.
b. Patient BP goes from 144/78 mm Hg to 152/80 mm Hg.
c. Patient reports sudden severe flank pain.
d. Patient informs the nurse of a family history of hypertension.
ANS: C
C. Severe, sudden back, flank, or abdominal pain and a pulsating abdominal mass can indicate an aneurysm may be about to rupture. A. A sense of abdominal fullness is not associated with an abdominal aneurysm or impending rupture. B. The patient's blood pressure is stable with normal variability. D. Hypertension and heredity may play a role in the development of an abdominal aneurysm, but this is not the priority.
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