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Aneurysm and peripheral vascular disorder
Aneurysm and peripheral vascular disorder ( 34 Questions)
Correct - Pain level assessment is essential in monitoring for aneurysm rupture because sudden, severe, and persistent pain is a common manifestation. It could indicate that the aneurysm is leaking or has ruptured, requiring immediate medical attention.
Incorrect - While blood pressure measurement is important in managing aneurysm, it may not be the best indicator of an imminent rupture. Some aneurysms are asymptomatic until they rupture.
Incorrect - Respiratory rate evaluation is not a primary assessment for aneurysm rupture. Although respiratory distress may occur due to pain or compromised blood flow after rupture, it is not the initial priority.
Incorrect - While monitoring urinary output is important in various clinical settings, it is not a priority assessment for aneurysm rupture. There are more specific symptoms related to aneurysm rupture that the nurse should focus on.
A) Correct - Pain level assessment is essential in monitoring for aneurysm rupture because sudden, severe, and persistent pain is a common manifestation. It could indicate that the aneurysm is leaking or has ruptured, requiring immediate medical attention.
B) Incorrect - While blood pressure measurement is important in managing aneurysm, it may not be the best indicator of an imminent rupture. Some aneurysms are asymptomatic until they rupture.
C) Incorrect - Respiratory rate evaluation is not a primary assessment for aneurysm rupture. Although respiratory distress may occur due to pain or compromised blood flow after rupture, it is not the initial priority.
D) Incorrect - While monitoring urinary output is important in various clinical settings, it is not a priority assessment for aneurysm rupture. There are more specific symptoms related to aneurysm rupture that the nurse should focus on.