Stabilizing heart rate and blood pressure and easing anxiety-rationale: for a client with an aneurysm, nursing interventions focus on preventing aneurysm rupture by stabilizing heart rate and blood pressure. easing anxiety also is important because anxiety and increased stimulation may raise the heart rate and boost blood pressure, precipitating aneurysm rupture. the client with an abdominal aortic aneurysm is typically hypertensive, so the nurse should take measures to lower blood pressure, such as administering antihypertensive agents, as ordered, to prevent aneurysm rupture. to sustain major organ perfusion, the client should maintain a mean arterial pressure of at least 60 mm hg. although the nurse must assess each clients mobility individually, most clients need bed rest when initially attempting to gain stability.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: comprehensionreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 998.
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