Question

Question 19

Which action would the nurse take first in a client with an abdominal aortic aneurysm who
is suddenly pale and reports feeling light-headed and having abdominal pain?
Assess the respiratory rate for hyperventilation.
Check the blood pressure for hypotension.
Administer the prescribed morphine for pain.
O Inspect the abdomen for distension and firmness.
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Answer 1

The nurse would first check the blood pressure for hypotension in a client with an abdominal aortic aneurysm who suddenly becomes pale, light-headed, and experiences abdominal pain.

Step-by-step explanation:

The first action the nurse would take in a client with an abdominal aortic aneurysm who is suddenly pale, light-headed, and experiencing abdominal pain would be to check the blood pressure for hypotension. A sudden drop in blood pressure can indicate a ruptured aneurysm and immediate medical intervention is necessary. Assessing the respiratory rate for hyperventilation would be important, but checking the blood pressure takes precedence to determine the severity of the situation and the need for immediate treatment.

Learn more about Treatment of abdominal aortic aneurysm