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l********z
发帖数: 810 | 1 What is the answer, I choose D.
A 54-year-old African American woman has been in the intensive care unit (
ICU) for the past 10 hours because she has failed to regain consciousness
after passing out at a restaurant 11 hours ago. Upon initial arrival at the
emergency department the patient's friend stated that the patient had
remarked about the sudden onset of a terrible headache and neck stiffness
while they were having lunch. A few minutes after the onset of the headache,
she became confused, vomited, and lost consciousness. She regained
consciousness briefly en route to the hospital, but she has been unconscious
since admission. On arrival she was intubated and mechanically ventilated
and transferred to the ICU, where intravenous fluids were started. Vital
signs are: pulse 110/min and blood pressure 174/96 mm Hg. She exhibits no
spontaneous movement and is unresponsive to verbal or painful stimuli. Lung
fields are clear to auscultation. CT angiogram confirms subarachnoid
hemorrhage from a ruptured cerebral aneurysm and impaired intracranial
circulation. The family should be counseled regarding which of the following?
A) The futility of continued life support
B) The need for screening of first-degree relatives for aneurysms
C) The need for them to sustain hope
D) The need to have a guardian ad litem appointed to make informed decisions
about the patient's care
E) The probability that the patient will not regain consciousness | h****6
发帖数: 41 | |
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