Answer to Question 1
3
Aneurysm rupture is a life-threatening occurrence and the highest risk for the client until it can be repaired. Hypotension, cardiac arrhythmias, and loss of bowel sounds are all significant potential complications; however, they are not life threatening.
Answer to Question 2
4
The nurse may auscultate a bruit at the site of the aneurysm. Pleural rib and crackles are adventitious sounds heard during the assessment of the lungs. Hyperactive bowel sounds may be heard when assessing the abdomen.
The postoperative client supports an incision with a folded pillow when taking a deep breath and cou
The nurse applies a pulse oximeter sensor on the client’s finger.
circulation of abdominal organs
abdominal viscera
Deliver abdominal thrusts to the supine unconscious patient.
Measuring the client’s height with a platform scale