The nurse is examining a client with hypertension who is complaining of mid-abdominal pain. What would be a priority for the nurse to assess in this client?
1. The eyes, for jaundice
2. Temperature
3. Workplace responsibilities
4. The abdomen, for a pulsating mass and bruit
Answer: 4
1. The client is exhibiting symptoms of an abdominal aortic aneurysm. Jaundice is not a sign of an aneurysm.
2. The client's temperature is not relevant.
3. Workplace responsibilities would apply if the client were having back pain.
4. Mid-abdominal pain when a client is hypertensive should alert the nurse to check the abdomen for a pulsating mass and listen for a bruit.
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