Exam & Evaluation (Aneurysmal Subarachnoid Hemorrhage)
Questions: Please respond to following statements.
Check all statements that are true regarding the demographics of aSAH
aSAH accounts for 95% of all subarachnoid hemorrhage cases.
About 35% of patients die after the first aneurysmal subarachnoid hemorrhage.
aSAH is more prevalent in persons over 50 years
aSAH is more prevalent in women
The U.S. incidence of aSAH is at least 14.5/100,000
Which best describes the size of a "large" aneurysm
Which of the following are Non-modifiable risk factors for aSAH? Check all that apply.
Ehlers-Danlos Syndrome Type IV
Family history of aSAH
History of previous aSAH
Indicate which of the following are warning signs of an aSAH.
Nausea and vomiting
All of the above
Which of the following is the most common diagnostic test for confirmation of aSAH?
Results of a head computerized tomography (CT) with contrast
Results of a non-contrast head computerized tomography (CT)
Lumbar puncture (LP)
Transcranial doppler (TD)
The most important strategy to decrease risk of rebleeding is early aneurysm repair, followed by optimal control of blood pressure.
All of the following are important nursing measures for a patient on aneurysm precautions except.
Bed rest, quiet room, subdued lighting, limited visitors
Avoid activities that can initiate Valsava maneuver.
Elevated head of bed for increased ICP
Padded side rails, tongue blade, and restraints
Sequential compression or compression stockings for DVT prophylaxis
The risk of vasospasm increases significantly beginning 72 hours after rupture.
aSAH management may be complicated by
Delayed cerebral ischemia
All of the above
Which treatment has demonstrated a lower risk of death, disability, epilepsy, and cognitive decline?
Which treatment has a lower risk of rebleeding?
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