• Abdominal pulsations
• Commonly asymptomatic
lower than that in the arms
DIAGNOSTIC TEST RESULTS
NURSING DIAGNOSES
• Acute pain
TREATMENT 
and record vital signs. Tachycardia, dyspnea
or hypotension may indicate fluid volume
deficit caused by rupture of aneurysm.
• Monitor intake and output and laboratory
studies. Low urine output and high specific
 gravity indicate hypovolemia.
lemic shock from aneurysm rupture, such
as anxiety, restlessness, severe back pain,
decreased pulse pressure, increased thready
pulse, and pale, cool, moist, clammy skin, to
detect early signs of compromise.
• Gently palpate the abdomen for distention.
 Increasing distention may signify impending
rupture.
abnormal sensations to detect poor arterial
blood flow.
rupture.
• Encourage the client to express feelings
such as a fear of dying to reduce anxiety.
• Maintain a quiet environment to control
blood pressure and reduce risk of rupture.
Teaching topics 
plan
peripheral circulation, such as change in skin
color or temperature, complaints of numbness
or tingling, and absent pulses
• Activity limitations, including alternating
scribed exercise and diet regimen
Angina
results from plaque accumulation in the
intimal lining.
coronary syndrome), or Prinzmetal’s (variant).
• In stable angina, symptoms are consistent
and pain is relieved by rest.
• In unstable angina, pain is marked by
increasing severity, duration, and frequency.
Pain from unstable angina responds slowly to
nitroglycerin and isn’t relieved by rest.
• In Prinzmetal’s angina, pain is unpredict-
able and may occur at rest.
Angina isn’t hard to understand. If I don’t get
enough oxygen, it hurts.