When planning nursing care for a patient with a stroke, the nurse should consider which primary goal of medical management?
1. Restoration of cerebral blood flow and limiting the size of the infarcted area of the brain
2. Keeping the blood pressure under control pharmacologically
3. Transferring the patient for rehabilitation as soon as medically stable
4. Reestablishing blood flow to the infarcted area surgically
Answer: 1
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Diphenhyrdramine (Benadryl) is not recommended for use in older adults because of:
a. confusion and severe anticholinergic effects b. risk of seizures c. prolonged half life d. dosage problems
What is stroke volume?
a. the volume of blood pumped by the heart in 1 minute b. the measurement of the ratio of stroke volume to compliance of the arterial system c. the bounding of blood flow in an artery d. the measurement of blood that enters the aorta with each ventricular contraction
The nurse prepares to administer medication in 100 ml of normal saline solution. Which does the nurse implement to mix the medication?
1. Insert the medication into the port for IV tubing. 2. Inject medication through cleansed injection port. 3. Label medication bag using a felt-tip marker. 4. Mix medication for 10 seconds by shaking IV bag.
A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago. The most appropriate nursing diagnosis for the patient is
a. anxiety related to effects of being raped. b. sleep deprivation related to frightening dreams. c. rape-trauma syndrome related to rape experience. d. ineffective coping related to inability to resolve incident.