A patient comes to the clinic with a complaint of gradual onset of left-sided weakness. The primary care NP notes slurring of the patient's speech. A family member accompanying the patient tells the NP that these symptoms began 4 or 5 hours ago
The NP will activate the emergency medical system and expect to administer: a. 325 mg of chewable aspirin.
b. LMWH.
c. intravenous alteplase and aspirin.
d. warfarin (Coumadin) and aspirin.
A
Alteplase is used to treat ischemic stroke but is contraindicated if onset of symptoms occurred 3 hours previously. The administration of anticoagulation or antiplatelet agents during the first 24 hours is not recommended. The oral administration of aspirin within 24 to 48 hours after stroke onset is recommended.
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A housekeeping employee is questioning the employees' agent regarding the role of administering the ratified contract. The agent should explain to the employee that this role belongs to which person?
1. Union president 2. Hospital administrator 3. Designated union representative 4. Bargaining agent
The nurse researcher opts to use grounded theory as the research method. Which action or behavior should be avoided in such a study?
a. Following hunches about emerging patterns before data collection is completed b. Expressing the researcher's opinions or values to the participants c. Changing the way experiences are collected or selected after the study has been initiated d. Expanding codes or data categories as the study progresses
A client who was burned has crackles in both lung bases and a respiratory rate of 40 breaths/min and is coughing up blood-tinged sputum. Which action by the nurse takes priority?
a. Administer digoxin. b. Perform chest physiotherapy. c. Document and reassess in an hour. d. Place the client in an upright position.
A patient reports dizziness and shortness of breath for several days. During cardiac monitoring in the emergency department (ED), the nurse obtains the following electrocardiographic (ECG) tracing
The nurse interprets this heart rhythm as a. junctional escape rhythm. b. accelerated idioventricular rhythm. c. third-degree atrioventricular (AV) block. d. sinus rhythm with premature atrial contractions (PACs).