A woman brings her husband to the emergency department and tells the nurse that her husband just had a stroke. The physician verifies a thrombotic cerebral vascular accident (CVA) occurred and plans to use alteplase (Activase)
What priority assessment question will the nurse ask the wife?
1. "What other medications does your husband take?"
2. "Does your husband have hypertension?"
3. "What other medical illnesses does your husband have?"
4. "What time did your husband have the stroke?"
Correct Answer: 4
Rationale: Alteplase (Activase) must be given within 3 hours of a thrombotic cerebro vascular accident (CVA) for maximum effectiveness. Asking about hypertension is a good question, but is not the priority. Asking about medications is a good question, but is not the priority. Asking about illnesses is a good question, but is not the priority.
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