Nursing care of abdominal aortic aneurysm

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    If I had a patient with an abdominal aortic aneurysm that was scheduled for a repair but suddenly had worsening abdominal pain and flank pain, would I assess vital signs first or notify the doc? I know it's an emergency, but do we ALWAYS assess first?
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  3. 13 Comments so far...

  4. 0
    Other options are re-assess in 5 minutes or provide analgesic. Goal in dissecting is to keep BP low and pain controlled, right?
    Another question too:
    You have a hypertensive client that is obese, lives a sedentary lifestyle and smokes 1/2 pack of cigarettes a day. Which behavioral mod. would you teach to have the most immediate positive impact on blood pressure?
    A. Caffeine restriction
    B. Regular exercise routine
    C. Smoking cessation
    D. Weight reduction

    What do ya think? This one is driving me crazy cause I feel like it's smoking but smoking only temporarily raises BP??
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    Always assess first. If you have no assessment, you have nothing to report to the doctor anyway.
  6. 0
    I would have a fellow nurse page the doctor while I stayed with the patient to do their VS and physical assessment, especially if they suddenly deteriorated. Then when the doctor comes/calls back I have all my information to present to them.
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    I would assess vital signs first as well. You need that info for the dr.

    The second question my first guess is smoking cessation because weight gain takes a while and exercise wouldn't have an immediate impact.
  8. 0
    We are happy to help with homework but we will not do it for you.......What do you think and we'll go from there. It helpds me to know how you draw you conclusions so I can point you on the right direction.
  9. 0
    This isn't homework (It's thanksgiving break for heavens sake!)--quizzing myself with NCLEX style questions and just curious to see what other's thought processes are without tainting it with the 'ivory tower' answer. But thanks to those who answered kindly--I appreciate it!
  10. 0
    Alliloop: so did you get the answer and also its rationale? Glad if you can share
  11. 0
    Oops sorry I mistyped your name :P
  12. 0
    ANSWER is always hidden in the question.....so ist answer definitely will be 1 because .use nursing process....you should have something to report to docter related to sign and symptom..... and 2nd answer is cessation of smoking ..question is asking about immediate action so you can quite smoke right now........ ......


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