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A diagnosis of a ruptured cerebral aneurysm has been made in a patient with manifestations of a stroke. The nurse anticipates that treatment options that would be evaluated for the patient include

a. hyperventilation therapy
b. surgical clipping of the aneurysm
c. administration of hyperosmotic agents
d. administration of thrombolytic therapy

User Ouflak
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Final answer:

For a patient with a ruptured cerebral aneurysm, treatment options include surgical clipping of the aneurysm and the administration of hyperosmotic agents, whereas thrombolytic therapy is not typically used as it may worsen bleeding in hemorrhagic strokes.

Step-by-step explanation:

A patient with a diagnosis of a ruptured cerebral aneurysm presenting with stroke-like symptoms is likely to be evaluated for multiple treatment options. Among these, surgical clipping of the aneurysm is a possible intervention, which involves placing a clip at the base of the aneurysm to prevent blood flow. Furthermore, administration of hyperosmotic agents may be considered to reduce cerebral edema by drawing fluid out of the brain tissue and into the blood vessels. Options such as hyperventilation therapy to lower intracranial pressure might also be evaluated. However, in the case of a hemorrhagic stroke, thrombolytic therapy, which is primarily used for ischemic strokes to dissolve clots, would generally not be indicated as it can exacerbate bleeding.

User DerKorb
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