The nurse knows that which of the following treatment plans listed below is most likely to be prescribed after a computed tomography (CT) scan of the head reveals a new-onset aneurysmal subarachnoid hemorrhage?
A)
Stat administration of tissue plasminogen activator (tPA)
B)
Administration of a diuretic such as mannitol to reduce cerebral edema and ICP
C)
Monitoring in the ICU for signs and symptoms of cerebral insult
D)
Craniotomy and clipping of the affected vessel
Ans:
D
Feedback:
Surgery for treatment of aneurysmal subarachnoid hemorrhage involves craniotomy and inserting a specially designed silver clip that is tightened around the neck of the aneurysm. Administration of tPA would exacerbate bleeding, and a diuretic would not address the issue of bleeding. Monitoring alone would be an insufficient response given the severity of the problem.
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