The nurse admits a patient with a diagnosis of abdominal aortic aneurysm. Which signs and symptoms would suggest that the aneurysm has ruptured?

Rapid onset of shortness of breath and hemoptysis

Gradually increasing sub sternal chest pain and diaphoresis

Sudden, patchy blue mottling on the feet and toes and pain at rest

Sudden, severe low back pain and bruising along the flank area