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Exam & Evaluation (Aneurysmal Subarachnoid Hemorrhage)
 
Questions: Please respond to following statements.

1 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
2 Which best describes the size of a "large" aneurysm
  3-5 mm.
  5-11 mm.
  11-25 mm
  25-50 mm
3 Which of the following are Non-modifiable risk factors for aSAH? Check all that apply.
  Female
  Atherosclerosis
  Ehlers-Danlos Syndrome Type IV
  Family history of aSAH
  History of previous aSAH
  Hypertension
4 Indicate which of the following are warning signs of an aSAH.
  Headache
  Nausea and vomiting
  Stiff neck
  Photophobia
  All of the above
5 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)
6 The most important strategy to decrease risk of rebleeding is early aneurysm repair, followed by optimal control of blood pressure.
True     False
7 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
  Maintain normothermia
  Avoid dehydration
  Sequential compression or compression stockings for DVT prophylaxis
8 The risk of vasospasm increases significantly beginning 72 hours after rupture.
True     False
9 aSAH management may be complicated by
  Fever
  Delayed cerebral ischemia
  Hydrocephalus
  All of the above
10 Which treatment has demonstrated a lower risk of death, disability, epilepsy, and cognitive decline?
  Surgical clipping
  Endovascular coiling
11 Which treatment has a lower risk of rebleeding?
  Surgical clipping
  Endovascular coiling
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