Author Question: A nurse is seeing many clients in the neurosurgical clinic. With which clients should the nurse plan ... (Read 54 times)

SO00 · **on:** Jun 25, 2018

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

Question 2

A nurse is working with many stroke clients. Which clients would the nurse consider referring to a mental health provider on discharge? (Select all that apply.)

a. Client who exhibits extreme emotional lability
b. Client with an initial National Institutes of Health (NIH) Stroke Scale score of 38
c. Client with mild forgetfulness and a slight limp
d. Client who has a past hospitalization for a suicide attempt
e. Client who is unable to walk or eat 3 weeks post-stroke

ladyjames123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A, B, D, E
Clients most at risk for post-stroke depression are those with a previous history of depression, severe stroke (NIH Stroke Scale score of 38 is severe), and post-stroke physical or cognitive impairment. The client with mild forgetfulness and a slight limp would be a low priority for this referral.