A Client with a Known Abdominal Aortic Aneurysm Reports Dizziness

question 31

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.