Osmotic diuretic therapy to prevent increasing intracranial pressure (ICP) has not been successful for a client. Which surgical procedure should the nurse anticipate being prescribed for this client?
1. Lumbar surgery
2. Bone flap surgery
3. Carotid artery surgery
4. Surgery to place a drain to the brain through the ear
Answer: 2
1. Lumbar surgery is not performed to relieve pressure.
2. A part of the bone is removed from the skull, decreasing pressure by allowing for expansion of the brain, and is called a bone flap.
3. Carotid artery surgery is performed to clear those arteries and restore blood flow to the brain.
4. A drain can be placed to relieve pressure and provide drainage, but it is placed in the skull, not the ear.
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