The nurse knows that which of the following treatment plans ...

[j.rubin]

The nurse knows that which of the following treatment plans listed below is most likely to be prescribed after a computed tomography (CT) scan of the head reveals a new-onset aneurysmal subarachnoid hemorrhage?
 
  A)
  Stat administration of tissue plasminogen activator (tPA)
  B)
  Administration of a diuretic such as mannitol to reduce cerebral edema and ICP
  C)
  Monitoring in the ICU for signs and symptoms of cerebral insult
  D)
  Craniotomy and clipping of the affected vessel

Question 2

Which of the following would be an example of a child born with congenital insensitivity to pain? A child who
 
  A)
  develops pins-and-needles sensation after jumping out of a tree.
  B)
  fell off a skate board and fractured ankle but did not feel any pain and just noted swelling in foot.
  C)
  skinned knee from a bike accident but only told parents when it started burning.
  D)
  cries every time the wind blows because it hurts his face and ears.

[Jbrasil]

Answer to Question 1

Ans:
D

Feedback:

Surgery for treatment of aneurysmal subarachnoid hemorrhage involves craniotomy and inserting a specially designed silver clip that is tightened around the neck of the aneurysm. Administration of tPA would exacerbate bleeding, and a diuretic would not address the issue of bleeding. Monitoring alone would be an insufficient response given the severity of the problem.

Answer to Question 2

Ans:
B

Feedback:

Analgesia is the absence of pain on noxious stimulation or the relief of pain without loss of consciousness. Congenital insensitivity is when the peripheral nerve defect apparently exists such that the transmission of painful nerve impulses does not result in perception of pain. Pens-and-needles sensation is called paresthesia. Burning sensations are usually associated with temperature (hyperthermia). Pain associated with wind (or any nonnoxious stimuli) is called allodynia.

[j.rubin]

Excellent

[yeungji]

TYSM