A nursing student is caring for a client with an abdominal aneurysm. What action by the student requires the registered nurse to intervene?
a. Assesses the client for back pain
b. Auscultates over abdominal bruit
c. Measures the abdominal girth
d. Palpates the abdomen in four quadrants
ANS: D
Abdominal aneurysms should never be palpated as this increases the risk of rupture. The registered nurse should intervene when the student attempts to do this. The other actions are appropriate.
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