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A Client with a Known Abdominal Aortic Aneurysm Reports Dizziness

Question 22

Multiple Choice

A client with a known abdominal aortic aneurysm reports dizziness and severe abdominal pain.The nurse assesses the client's blood pressure at 82/40 mm Hg.What actions by the nurse are most important? (Select all that apply.)


A) Administer pain medication.
B) Assess distal pulses every 10 minutes.
C) Have the client sign a surgical consent.
D) Notify the Rapid Response Team.
E) Take vital signs every 10 minutes.

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