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shadowtest826 shadowtest826
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A month ago
A client with history of an abdominal aortic aneurysm has been admitted for treatment of pneumonia. Which assessment finding would require the nurse to contact the client's primary health care provider immediately? (Select all that apply.)
1. The client becomes suddenly hypotensive.
2. The client reports a headache.
3. The client's urine is cloudy.
4. The client reports hip pain.
5. There is new absence of pedal pulses in the left foot
Textbook 

High-Acuity Nursing


Edition: 6th
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lmalmalmalma
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A month ago
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More questions for this book are available here
The answer is 1, 4, 5
Rationale:
1. Sudden hypotension is an indicator of possible rupture of the AAA.
2. Headache is not associated with complications from the AAA. It should be treated, but it is not necessary to immediately contact the provider.
3. Cloudy urine most often indicates infection or dehydration. It should be treated, but it is not necessary to immediately contact the provider.
4. Abdominal pain, including hip pain, can indicate that the AAA is dissecting or rupturing. This finding should be immediately conveyed to the provider.
5. Absence of pedal pulses indicates a problem with circulation that could be dissection or rupture of the AAA.
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