Cerebral Aneurysm—Treatment and Perioperative Nursing ... - AORN

JUNE 2007, VOL 85, NO 6Examinationc. genetic factors.d. trauma.5. Aneurysms that have been completelyclipped often reoccur.a. trueb. false6. Performing an aneurysm clippingprocedure1. minimizes the necessity forperiodic follow-up angiographicstudies.2. provides controlled access to difficultanatomy.3. allows for arterial reconstructionwhen aneurysms have complicatedshapes and wide necks.a. 1b. 3c. 2 and 3d. 1, 2, and 37. The risk of bleeding or rebleedingis greatly reduced or eliminatedwhen an endovascular coil is usedbecause thea. aneurysm sac is completely removedduring the procedure.b. packed coils and subsequentthrombus formation prevent bloodfrom entering the aneurysm.c. white blood cells surround anddestroy the aneurysm sac.d. the endovascular coil is securedtightly around the neck of theaneurysm.8. Which of the following nursing interventionswould be most applicablefor the nursing diagnosis “Riskfor decreased cardiac output relatedto cardiovascular function, anesthesia,and surgical intervention?”1. Assesses peripheral pulses, skinpallor, numbness, and tingling ofextremities.2. Assesses skin integrity, sensoryimpairments, and susceptibilityfor infection.3. Evaluates for signs and symptomsof skin and tissue injury.4. Evaluates postoperative vascularfunction.5. Observes for signs and symptomsof hypovolemia in postoperativeperiod related to bloodloss.a. 1 and 3b. 2 and 4c. 1, 4, and 5d. 1, 2, 3, 4, and 59. If the neck of the aneurysm is toowide to hold the coils during an endovascularcoiling procedure, thesurgeon or radiologist maya. apply an aneurysm clip across theneck of the aneurysm.b. use bipolar electrocautery to cauterizethe aneurysm sac.c. place a stent across the neck of theaneurysm.d. opt to use the surgical clipping procedure.10. The postanesthesia care unit nursewatches for signs and symptoms of aretroperitoneal bleeding, which mayinclude1. abdominal pain or discomfort.2. excessive agitation.3. loss of peripheral pulses.4. low systolic blood pressure.a. 1 and 4b. 2 and 3c. 1, 3, and 4d. 1, 2, 3, and 4The behavioral objectives and examination for this program were prepared by RebeccaHolm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN,MS, BC, director, Center for Perioperative Education.1184 • AORN JOURNAL