High-Acuity Nursing, 7th Edition Class Notes
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DECISION-MAKING CASE SUMMARIES
CASE
NAME
OVERVIEW MAJOR CASE
DECISIONS
Nils
Rasmussen
Mr. Nils Rasmussen is a 72-
year-old man with a long history
of peripheral atherosclerotic
vascular disease. He has a five-
year history of abdominal aortic
aneurysm (AAA) that has been
treated medically with periodic
monitoring and drug therapy.
Several days ago, after
undergoing his periodic physical
examination and abdominal CT
scan, Mr. Rasmussen’s
cardiovascular healthcare
provider informed him that the
aneurysm had significantly
increased in size when
compared to the previous scan.
Interventional repair of the
aneurysm was recommended.
1. Identifying and responding to
abnormal test results, vital
signs, or symptoms
2. Asking appropriate patient
history questions to identify risk
factors
3. Prioritizing medication
administration
4. Monitoring for side effects of
treatments
5. Responding to patient
questions
6. Recognizing a need for
additional patient teaching
Estimated Case Length:
Difficulty Level: High
Learning Objectives:
• Apply knowledge of risk factors associated with aortic aneurysms to care of the patient
with aortic aneurysm.
• Describe the pathophysiologic basis of aortic aneurysm.
• Apply knowledge of the pathophysiologic basis of aortic aneurysm to care of the
patient with aortic aneurysm.
• 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.
• Describe the 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 has
undergone aortic aneurysm repair.
Questions Correct Answers
1. You have just received
Mr. Rasmussen into Room E
and have connected him to
the hemodynamic monitor
Inform the intensivist that the patient’s blood pressure is
significantly elevated.
HIGH ACUITY NURSING #1: AORTIC ANEURYSM
CASE
NAME
OVERVIEW MAJOR CASE
DECISIONS
Nils
Rasmussen
Mr. Nils Rasmussen is a 72-
year-old man with a long history
of peripheral atherosclerotic
vascular disease. He has a five-
year history of abdominal aortic
aneurysm (AAA) that has been
treated medically with periodic
monitoring and drug therapy.
Several days ago, after
undergoing his periodic physical
examination and abdominal CT
scan, Mr. Rasmussen’s
cardiovascular healthcare
provider informed him that the
aneurysm had significantly
increased in size when
compared to the previous scan.
Interventional repair of the
aneurysm was recommended.
1. Identifying and responding to
abnormal test results, vital
signs, or symptoms
2. Asking appropriate patient
history questions to identify risk
factors
3. Prioritizing medication
administration
4. Monitoring for side effects of
treatments
5. Responding to patient
questions
6. Recognizing a need for
additional patient teaching
Estimated Case Length:
Difficulty Level: High
Learning Objectives:
• Apply knowledge of risk factors associated with aortic aneurysms to care of the patient
with aortic aneurysm.
• Describe the pathophysiologic basis of aortic aneurysm.
• Apply knowledge of the pathophysiologic basis of aortic aneurysm to care of the
patient with aortic aneurysm.
• 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.
• Describe the 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 has
undergone aortic aneurysm repair.
Questions Correct Answers
1. You have just received
Mr. Rasmussen into Room E
and have connected him to
the hemodynamic monitor
Inform the intensivist that the patient’s blood pressure is
significantly elevated.
HIGH ACUITY NURSING #1: AORTIC ANEURYSM
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Document Details
Subject
Nursing