A patient will have either endovascular coiling or neurosurgical clipping as treatment for an intracranial aneurysm
How would the nurse describe the benefits and risks of each form of treatment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Surgery is the most reliable method of treating these aneurysms.
2. Coiling is only successful in very small aneurysms.
3. The decision of which approach to use is based on the patient's preference.
4. Coiling is generally a less invasive option.
5. Coiling may require placement of a stent.
4,5
Rationale 1: Both surgery and coiling are acceptable methods of treating intracerebral aneurysms, and each has specific indications for use.
Rationale 2: The size of the aneurysm is not as important as its configuration and the configuration of vessels in the immediate vicinity.
Rationale 3: The decision of which approach to use is based largely on the angiographic features of the aneurysm.
Rationale 4: Coiling is a nonsurgical approach and is less invasive than craniotomy.
Rationale 5: If the aneurysm is broad based, a stent may be placed in the parent artery to act as a scaffold for the coils.
You might also like to view...
The nurse is caring for a client with superior vena cava syndrome. The nurse is aware that an appropriate nursing intervention for this condition would be:
a. providing a restful environment b. closely monitoring intake and output c. elevating client's feet and legs d. placing the client in the Sims' position
A client ingests one cup of canned bean with bacon soup prepared with water, which contains 8 grams of protein, 6 grams of fat, and 23 grams of carbohydrate. The nurse determines that this soup contains how many kilocalories?
1. 148 2. 166 3. 178 4. 247
Rogers described pattern as
A. A reducible connected string of events. B. Changing continuously while giving identity to each unique human–environmental field process. C. A way to frame an individual's historical context. D. A back-and-forth flow.
The classic pathway of the complement system is activated by:
1. bacterial toxins. 2. antigens. 3. CDs. 4. antibodies.