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1. Question
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct
Answer A is correct.
Rationale: The elevated white blood cell count should be reported because this indicates infection. A bruit will be heard if the client has an aneurysm, and a negative Babinski is normal in the adult, as are pupils that are equal and reactive to light and accommodation; thus, answers B, C, and D are incorrect.
Incorrect
Answer A is correct.
Rationale: The elevated white blood cell count should be reported because this indicates infection. A bruit will be heard if the client has an aneurysm, and a negative Babinski is normal in the adult, as are pupils that are equal and reactive to light and accommodation; thus, answers B, C, and D are incorrect.
Aneurysm, abdominal aortic
Abdominal aortic aneurysm, an abnormal dilation in the arterial wall, most commonly occurs in the aorta between the renal arteries and iliac branches. More than 50% of patients with untreated abdominal aneurysms 6 cm or larger die within 2 years of diagnosis, primarily from aneurysmal rupture. More than 85% of patients with large aneurysms die within 5 years.
What causes it
Aneurysms commonly result from atherosclerosis, which weakens the aortic wall and gradually distends the lumen. Other causes include:
Fungal infection (mycotic aneurysms) of the aortic arch and descending segments
Congenital disorders, such as coarctation of the aorta, Marfan syndrome, and collagen vascular disorders
