A nurse is caring for a client in the clinic

Exhibits

Complete the following sentence by using the list of options.

The nurse should first address the client's

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A. Marfan's syndrome: Marfan's syndrome is a genetic connective tissue disorder that affects the integrity and strength of blood vessels. Individuals with this condition are at increased risk for the development of cerebral aneurysms, which may rupture and lead to subarachnoid hemorrhage, making it an important vascular risk factor.
B. Alzheimer’s disease: Alzheimer’s disease involves progressive neurodegeneration and cognitive decline, but it does not directly increase the risk of bleeding in the subarachnoid space. Its pathology does not involve vascular abnormalities related to aneurysm formation.
C. Parkinson’s disease: Parkinson’s disease affects the motor control centers of the brain due to dopamine depletion, but it does not involve changes in cerebral blood vessels. Therefore, it is not linked to an increased risk of subarachnoid hemorrhage.
D. Male sex: Subarachnoid hemorrhage is slightly more common in females, particularly due to hormonal and vascular differences. Male sex is not a recognized independent risk factor for aneurysmal rupture or spontaneous SAH.

A. Administer acetaminophen by mouth for pain control: While pain management is important, it is not the first priority. The primary concern after a traumatic fall is to rule out any life-threatening conditions, such as intracranial bleeding or fractures, which require diagnostic imaging before administering pain relief.
B. Insert an indwelling urinary catheter to monitor urine output: Inserting a catheter may be necessary later, but the first step should be assessing for any immediate life-threatening injuries or complications resulting from the fall, which can be done through imaging studies.
C. Prepare for a STAT non-contrast CT scan: The first priority after a traumatic fall, especially if there is a concern about head injury or internal bleeding, is to assess for any potential life-threatening conditions through a non-contrast CT scan. This helps identify fractures, bleeding, or brain injuries that need immediate attention.
D. Perform a thorough health history: While gathering a health history is important, it should come after ensuring that any potential life-threatening injuries have been ruled out. Diagnostic imaging should be the first intervention to address any immediate risks.