A client having a myocardial infarction is receiving alteplase (Activase) therapy. Which of the following actions should be carried out by the nurse to monitor for the most frequent adverse effect?
1. Monitor for bleeding.
2. Assess for allergic reaction.
3. Evaluate the client for muscle weakness.
4. Monitor for signs and symptoms of infection.
1
Rationale: Alteplase is a thrombolytic medication, which means that it breaks down or dissolves clots; therefore, bleeding is a concern. Local or systemic infection could occur with poor aseptic technique during medication administration, but it is rare. Allergic reaction is not a frequent response. Muscle weakness is not an adverse effect of this medication.
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Why is that strategy appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Conflict draws attention to an issue. 2. The administrators do not like conflict management. 3. Conflict can stimulate new ideas about how to manage the high-acuity unit. 4. Conflict about the unit will help to identify the compromises necessary to make it a viable part of the hospital system. 5. Conflicts about staffing may make current staff members reexamine their own performance.
Which laboratory value indicates inadequate functioning of a transplanted pancreas?
A. Total white blood cell count <5000/mm3 B. 50% decrease in urine amylase level C. Blood urea nitrogen >30 mg/dL D. Elevated bilirubin level
A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans. Which student statement would indicate that more instruction is needed?
A. "In this culture, the color red is associated with death and is considered bad luck." B. "In this culture, there is an innate fear of death." C. "In this culture, emotions are not expressed openly." D. "In this culture, death and bereavement are centered on ancestor worship."
The theory that says that people learn in part from role models and that confidence in one's ability to reach a goal is a key to motivation that sustains efforts to achieve goals is:
1. Contingency theory 2. Path-goal theory 3. Social learning theory 4. Transformational leadership