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A patient with a history of a 4-cm abdominal aortic aneurysm is admitted to the

nurse2mrow

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9 years ago

A patient with a history of a 4-cm abdominal aortic aneurysm is admitted to the

A patient with a history of a 4-cm abdominal aortic aneurysm is admitted to the emergency department with severe back pain and bilateral flank ecchymoses. The vital signs are blood pressure (BP) 90/58, pulse 138, and respirations 34. The nurse plans interventions for the patient based on the expectation that treatment will include
a.   immediate surgery.
b.   a STAT angiogram.
c.   a paracentesis when vital signs are stabilized with fluid replacement.
d.   admission to intensive care for observation and diagnostic testing.

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f_zah1

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9 years ago

A
Rationale: The patient's history and clinical manifestations are consistent with rupture into the retroperitoneal space, and the patient will need immediate surgery to have a chance at survival. The other listed treatments will all be too time consuming.

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nurse2mrow Author

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9 years ago

Thanks for assisting me on this Grinning Face

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