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High-Acuity Nursing, 7th Edition Class Notes

Improve your learning with High-Acuity Nursing, 7th Edition Class Notes, packed with key course insights.

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DECISION-MAKINGCASE SUMMARIESCASENAMEOVERVIEWMAJOR CASEDECISIONSNilsRasmussenMr. Nils Rasmussen is a 72-year-old man with a long historyof peripheral atheroscleroticvascular disease. He has a five-year history of abdominal aorticaneurysm (AAA) that has beentreated medically with periodicmonitoring and drug therapy.Several days ago, afterundergoing his periodic physicalexamination and abdominal CTscan, Mr. Rasmussen’scardiovascular healthcareprovider informed him that theaneurysm had significantlyincreased in size whencompared to the previous scan.Interventional repair of theaneurysm was recommended.1.Identifying and responding toabnormal test results, vitalsigns, or symptoms2.Asking appropriate patienthistory questions to identify riskfactors3.Prioritizing medicationadministration4.Monitoring for sideeffects oftreatments5.Responding to patientquestions6.Recognizing a need foradditional patient teachingEstimated Case Length:Difficulty Level:HighLearning Objectives:•Apply knowledge ofrisk factors associated with aortic aneurysms to care of the patientwith aortic aneurysm.•Describe the pathophysiologic basis of aortic aneurysm.•Apply knowledge of the pathophysiologic basis of aortic aneurysm to care of thepatient with aorticaneurysm.•Assess the patient for clinical manifestations of aortic aneurysm, aneurysm rupture,and aneurysm dissection.•Identify potential complications of drug therapy in a patient with aortic aneurysm.•Describethe interventional management choices for aortic aneurysm repair.•Demonstrate understanding of management priorities of with aortic aneurysm.•Apply knowledge of patient/family teaching pertaining to the patient who hasundergone aortic aneurysm repair.QuestionsCorrect Answers1.You have just receivedMr. Rasmusseninto Room Eand have connected him tothe hemodynamic monitorInform the intensivist that the patient’s blood pressure issignificantly elevated.HIGH ACUITY NURSING#1:AORTIC ANEURYSM

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Subject
Nursing
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High-Acuity Nursing by Kathleen Dor...

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