The nurse admits a client with a newly diagnosed abdominal aortic aneurysm scheduled for surgery tomorrow. When examining the client, the nurse takes special care not to:
1. Increase the client's anxiety.
2. Palpate the abdomen.
3. Elevate the feet and legs.
4. Administer beta blockers.
2
Rationale: The client with an abdominal aortic aneurysm should not have the abdomen palpated, and care should be taken to avoid any abdominal manipulation due to the risk of rupture. Elevating the feet and legs is not advisable, because it places increased pressure on the abdomen. Beta blockers are not indicated, but are not contraindicated as treatment, and the nurse should attempt to decrease any client's anxiety, but this is not the focus of care.
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