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Nursing 109 Case Study

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Gena Stockland
Nursing 109, Case Study 2
October 4, 2017

During an annual physical examination, Henry Oats, a 59-year-old hospital administrator, was diagnosed as having an abdominal aortic aneurysm. Abdominal CT angiography confirmed the diagnosis. The CT showed an abdominal aortic aneurysm greater than 10cm in diameter and he was scheduled for an open abdominal aortic aneurysm repair. Mr. Oats has arrived to the hospital for his scheduled surgery.

Mr. Oats is upset by his diagnosis stating that he does not have time to be admitted right now and is only doing this because his physician insisted. As the nurse enters the room to admit Mr. Oats, he is sitting on the edge of the bed talking on the phone, giving multiple instructions to his secretary. His admission findings include:

TPR - 37 C P 98 R 20 BP 190/106

He has no complaints of pain or discomfort. He is mentally alert and seems impatient and irritable. He is upset that he had to be hospitalized since he feels fine and is worried about the forthcoming hospital accreditation survey.

A pulsating mass in the abdomen can be visualized and palpated when he is supine. There is a faint palpable dorsalis pedis in the left foot. The dorsalis pedis is absent to palpation and doppler on the right. The right foot is cooler than the left but both have normal color.

1. What is the rationale for the surgeon insisting that the procedure be done so quickly after the diagnosis? (5%)

Arterial walls cannot

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