The nurse is preparing a client with an aortic aneurysm for surgery. The nurse notes that the client's systolic blood pressure has increased by 30 mm Hg compared with the reading 1 hour ago. What is the nurse's best action?
a. Measure abdominal girth.
b. Auscultate the abdomen.
c. Increase the IV infusion rate.
d. Reassess the blood pressure.
A
A sudden increase in blood pressure or hypertension can cause enlargement or rupture of the aneurysm, which would be correlated with an increase in abdominal girth. The other options are not indicated.
You might also like to view...
Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?
a. Wait 30 minutes if the patient has ingested hot or iced liquids. b. Leave the thermometer in place 3 to 4 minutes if the patient is afebrile. c. Place the thermometer in front of the tongue, and ask the patient to close his or her lips. d. Shake the mercury-in-glass thermometer down to below 36.6 ° C before taking the temperature.
An older patient is diagnosed with an intestinal obstruction and needs immediate surgery. The patient's next of kin is a granddaughter who lives in a neighboring community. Who will the nurse ask to sign the consent form for the surgery?
1. The patient 2. The patient's daughter 3. The patient's granddaughter 4. Both the patient and granddaughter
Before taking a magnetic resonance image (MRI), a patient asks why metal objects and the MRI machine are such concerns. What is the best explanation by the nurse regarding the MRI ma-chine? (Select all that apply.)
a. Causes metal objects to spark, similar to a microwave b. Deactivates the battery in a pacemaker c. Causes metal to heat up and burn the pa-tient d. Does not transmit clear data if metal is present e. Attracts any metal into the MRI chamber
The nurse is providing patient education to a patient who is to begin taking atovaquone and proguanil (Malarone). Which statement by the patient best demonstrates understanding of the administration of this medication? "I will take proguanil
a. with food or milk." b. at least 2 hours after a meal." c. on an empty stomach to promote absorption." d. at least 1 hour after food or drink."