A nurse is caring for a client with an abdominal aortic aneurysm. Which of the following nursing interventions is anticipated for this client?
Hold administration of analgesics
Keep blood pressure elevated to promote perfusion
Administer antibiotics as prescribed
Keep blood pressure within ordered parameters
The Correct Answer is D
A. Analgesics are important to manage pain and reduce stress, which can help prevent aneurysm rupture.
B. Keeping blood pressure elevated increases the risk of aneurysm rupture and is not appropriate.
C. Antibiotics are not routinely indicated unless there is an infection.
D. Controlling blood pressure reduces stress on the aneurysm wall, minimizing the risk of rupture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["17.05"]
Explanation
Convert weight from pounds to kilograms:
125 lbs ÷ 2.2 = 56.82 kg
Calculate insulin dose:
0.3 units/kg/hr × 56.82 kg = 17.05 units/hr
Rounded to the nearest whole number: 17 units/hr.
Correct Answer is B
Explanation
A. Urinary output of 25 mL/hr is low and concerning but not immediately life-threatening compared to airway compromise.
B. Burns to the face, ears, and eyelids can cause airway edema and swelling that may rapidly progress to airway obstruction. Difficulty swallowing may indicate swelling of the airway or impending airway compromise, which requires immediate intervention.
C. Heart rate of 122/min indicates tachycardia, which is common in burn patients due to pain, stress, or hypovolemia but is not as urgent as airway concerns.
D. Pain level of 6 requires management but is not a priority over airway or circulatory issues.
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