A nurse is seeing many clients in the neurosurgical clinic. With which clients should the nurse plan to do more teaching? (Select all that apply.)
a. Client with an aneurysm coil placed 2 months ago who is taking ibuprofen (Motrin) for sinus headaches
b. Client with an aneurysm clip who states that his family is happy there is no chance of recurrence
c. Client who had a coil procedure who says that there will be no problem following up for 1 year
d. Client who underwent a flow diversion procedure 3 months ago who is taking docusate sodium (Colace) for constipation
e. Client who underwent surgical aneurysm ligation 3 months ago who is planning to take a Caribbean cruise
ANS: A, B
After a coil procedure, up to 20% of clients experience re-bleeding in the first year. The client with this coil should not be taking drugs that interfere with clotting. An aneurysm clip can move up to 5 years after placement, so this client and family need to be watchful for changing neurologic status. The other statements show good understanding.
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