A nurse is closely monitoring a patient who has recently been diagnosed with an abdominal aortic aneurysm. What assessment finding would signal an impending rupture of the patient's aneurysm?

A) Sudden increase in blood pressure and a decrease in heart rate
B) Cessation of pulsating in an aneurysm that has previously been pulsating visibly
C) Sudden onset of severe back or abdominal pain
D) New onset of hemoptysis


Ans: C
Feedback:
Signs of impending rupture include severe back or abdominal pain, which may be persistent or intermittent. Impending rupture is not typically signaled by increased blood pressure, bradycardia, cessation of pulsing, or hemoptysis.

Nursing

You might also like to view...

A child with an ear infection is not responding to treatment with amoxicillin [Amoxil]. The nurse will expect the provider to order:

a. amoxicillin–clavulanic acid [Augmentin]. b. ampicillin. c. nafcillin. d. penicillin G [Benzylpenicillin].

Nursing

The nurse takes into consideration that the patient with polycythemia vera will have a phleboto-my to thin the blood:

a. every 2 to 3 weeks. b. monthly. c. every 2 to 3 months. d. semiannually.

Nursing

Defense mechanisms are strategies we use to distort our present reality in order to avoid anxiety.

Indicate whether the statement is true or false.

Nursing

Which normal physiological change in sensory function occurs with advancing age?

a. Decreased sensitivity to glare b. Increased number of taste buds c. Difficulty discriminating vowel sounds d. Decreased sensitivity to pain

Nursing