A client is given the option of either endovascular coiling or neurosurgical clipping in response to experiencing an intracranial aneurysm. The nurse understands that the benefits of endovascular coiling include: Select all that apply
1. The probability of being disability-free at 1 year is high.
2. Postprocedure hospital stay is significantly shorter.
3. The procedure requires less surgical expertise.
4. Most aneurysms are suitable for the procedure.
5. The financial expense is marginally less.
1. The probability of being disability-free at 1 year is high.
2. Postprocedure hospital stay is significantly shorter.
Rationale: The probability of being disability-free at 1 year is high. The outcome for survival free of disability at 1 year is significantly higher with endovascular coiling. Postprocedure hospital stay is significantly shorter. There is a decreased hospital length of stay associated with the procedure. The procedure requires less surgical expertise. Treatment would occur at a hospital with neurosurgeons specially trained in the procedure. Most aneurysms are suitable for the procedure. The choice of treatment should be based on the angiographic demonstration of the aneurysm. The financial expense is marginally less. The expense of endovascular coiling is actually higher than that of surgical clipping, but the expense is more than compensated for by the decreased hospital length of stay and the patient's earlier return to work and normal activities of daily living (ADLs)
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In treating the patient with a dysrhythmia of atrial fibrillation with an uncontrolled ventricular response, the nurse may administer
A) lidocaine. B) bretylium. C) digoxin. D) atropine.
A 20-year-old male construction worker is experiencing new onset of knee pain. He complains of right knee pain when kneeling, squatting, or walking up and down stairs
On physical examination, there is swelling and crepitus of the right knee and obvious pain with resisted range of motion of the knee. He is unable to squat due to pain. Which of the following disorders should be considered in the differential diagnosis? A. Joint infection B. Chondromalacia patella C. Prepatellar bursitis D. All of the above
The informatics nurse is preparing an educational program about the digital divide. In which way can healthcare professionals close this divide?
A) Provide online healthcare resources that are equally distributed. B) Provide the technology needed to access the Internet. C) Provide additional resources in regions that do not have access to technology. D) Provide increased access to free healthcare clinics with computer terminals.
A patient diagnosed with leukemia says, "If I have too many white blood cells, and white blood cells fight infections, why do I have to be careful not to be exposed to germs?" What would be an appropriate response for the nurse?
1. "With leukemia, you have the wrong kind of white blood cells." 2. "That's not what leukemia is." 3. "The white blood cells with leukemia aren't effective at fighting infections." 4. "Your bone marrow can become infected."