The Nurse Is Providing Care for a Patient Admitted with Low

The nurse is providing care for a patient admitted with low back pain who recently returned from an abdominal computed tomography (CT) scan that revealed an aortic aneurysm. Which of the following would require an immediate intervention by the nurse?

A) Patient reports a sense of abdominal fullness after eating.
B) Patient BP goes from 144/78 mm Hg to 152/80 mm Hg.
C) Patient reports sudden severe flank pain.
D) Patient informs the nurse of a family history of hypertension.