Nursing care of the patient after thrombolytic therapy focuses on the assessment of which common complication?
1. Bleeding
2. Reperfusion chest pain
3. Lethargy
4. Heart block
1
Rationale 1: Hemorrhage or bleeding is the most common complication; it can be life threatening.
Rationale 2: Recurrent chest pain is not associated with thrombolytic therapy.
Rationale 3: Lethargy is not associated with thrombolytic therapy.
Rationale 4: Heart block is not associated with thrombolytic therapy.
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A patient in Suchman's awareness stage has become argumentative and demanding. The nursing staff is becoming frustrated with the behaviors. What actions by the nurse are indicated?
1. Encourage the physician to discharge the patient to home. 2. Rotate the nursing assignments frequently to limit each nurse's exposure to the behaviors. 3. Confront the patient about his demeanor. 4. The nurse should accept the behaviors and attempt to open the lines of communication.
Radiation therapy can be used to treat cancer. Which is correct?
a. X-ray beams are aimed at the tumor. b. It can only be done after surgery. c. It is used to prevent the cancer's return. d. Only cancer cells are affected.
A person is in shock. You need to do which of the following?
a. Have the person sit up. b. Keep the airway open. c. Encourage the person to cough and deep breathe. d. Give the person fluids.
The nurse is implementing a teaching plan for a 4-month-old child who has been diagnosed with developmental dysplasia of the hip (DDH). The child will be placed in the Pavlik harness
Which of the following statements by the family would indicate that they understand the care of their child while placed in the Pavlik harness? 1. "I know that the harness must be worn continuously." 2. "I will bring my child back to the orthopedic office in a month so the straps can be checked." 3. "I realize that I will also need to put two diapers on my child so that the harness does not get soiled." 4. "I will watch for any redness or skin irritation where the straps are applied and call the doctor if there is any irritation."