Question

The nurse is assessing a client admitted to the hospital for surgery to repair an abdominal aortic aneurysm. Prior to surgery, the nurse should assess the client for which factor that puts the client at risk for rupture?

1. anemia
2. dehydration
3. high blood pressure
4. hyperglycemia

Answer 1

The nurse should assess for high blood pressure as the primary factor that increases the risk of rupture of an abdominal aortic aneurysm before surgery. Control of blood pressure is vital to prevent rupture and ensure patient safety preoperatively and postoperatively. 3)

high blood pressure.

Step-by-step explanation:

The nurse assessing a client scheduled for surgery to repair an abdominal aortic aneurysm should be particularly vigilant about high blood pressure (hypertension) as a factor that increases the risk for rupture. Hypertension exerts additional force against the walls of the aneurysm, potentially causing it to expand and eventually rupture, which can lead to life-threatening internal bleeding. In addition, while anemia, dehydration, and hyperglycemia can pose risks of their own, it is the uncontrolled high blood pressure that is most directly associated with the risk of an aneurysm rupture.

Maintaining optimal blood pressure control is critical in these patients, both preoperatively and postoperatively. The healthcare team, including the surgeon, nurse, and anesthesia professional, must closely monitor the patient's vital signs and adjust treatment accordingly to reduce the risk of complications from the aneurysm. This holistic care is essential for the patient's recovery and the success of the surgical procedure.