How can you identify a ruptured aneurysm?

Prepare for the Mark Klimek Blue Book Part 1 Exam. Study with multiple choice questions, flashcards, and comprehensive explanations. Get ready for your nursing exam!

Identifying a ruptured aneurysm is crucial, and understanding the signs associated with this condition is important for effective response and treatment. The correct answer highlights the presence of all signs of shock, which can be pivotal indicators of a ruptured aneurysm.

When an aneurysm ruptures, it leads to significant internal bleeding, which can result in hypovolemic shock. This state is characterized by low blood volume and can manifest as symptoms including hypotension (low blood pressure), tachycardia (rapid heart rate), altered mental status, and cold, clammy skin. Recognizing these signs indicates a systemic response to the loss of blood volume due to the rupture, making shock a critical aspect of identifying this emergency.

Other responses might point to specific symptoms that can occur with a ruptured aneurysm. A severe headache is indeed a common symptom, especially described as a "thunderclap" headache; however, while it may suggest an aneurysm, it does not encompass the full array of symptoms that result from a significant bleed. Localized pain can sometimes be present, depending on the aneurysm's location, but again, it may not provide the comprehensive indication of shock that is essential in urgent scenarios. Signs of infection are generally irrelevant in

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