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.

Nursing

You might also like to view...

You are caring for a patient who has just been told that her stage IV colon cancer has recurred and metastasized to the liver

The oncologist offers the patient the option of surgery to treat the progression of this disease. What type of surgery does the oncologist offer? A) Palliative B) Reconstructive C) Salvage D) Prophylactic

Nursing

Individuals with a recessive gene inheritance pattern should be advised that

a. if one parent is a carrier, there is a 50 percent chance of having affected children b. prenatal screening for recessive gene disorders is rarely performed c. the disease is passed from generation to generation d. if both parents are carriers, there is a 25 percent chance of having affected offspring

Nursing

Community health nurses need to be knowledgeable about the World Health Organization because its mission reflects which of the following?

A) Collaboration in health development to free the world from poverty B) Service as an independent agency providing economic and humanitarian assistance overseas C) Representation of the global interests and concerns of the nursing profession D) Global health promotion by supporting development efforts of governments, organizations, and universities throughout the world

Nursing

The nurse on a medical unit notes a moderate amount of fluid accumulation in the feet and ankles of a 75-year-old patient. The nurse will further assess this patient for indications of which conditions? Select all that apply

a. Kidney disease b. Heart failure c. Thyroid disease d. Common age-related changes

Nursing