Several days after a CVA, the patient's family asks the nurse if tissue plasminogen activator (tPA) is a drug therapy option now. The nurse's response is based on the knowledge that this drug must be used within:
1. 3 hours of onset of symptoms.
2. 5 hours of onset of symptoms.
3. 10 hours of onset of symptoms.
4. 24 hours of onset of symptoms.
1
tPA is to be given within 3 hours of onset of symptoms per FDA guidelines.
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When caring for a laboring patient, the nurse notes the onset of sudden vaginal bleeding at the beginning of cervical dilation. The patient denies any pain. What action by the nurse is best?
A. Document the findings in the woman's chart. B. Place the woman in a knee-chest position. C. Prepare the woman for an immediate cesarean birth. D. Perform a careful vaginal exam to assess for exposed umbilical cord vessels.
When assessing a client's temperature, the nurse finds it to be 99 °F
The client's temperature is ________ degrees Celsius?
Which are examples of barrier protection?
a. hand cream c. gloves, gowns, gog-gles, and masks b. negative pressure rooms d. wound dressings
The nurse obtaining a blood pressure in both of the client's arms determines that there is a difference of 15 mmHg in the systolic readings between the arms and repeats the assessment with the same results. Based on this data, which does the nurse suspect?
A. Unilateral arterial obstruction. B. Anxiety. C. Shock. D. Inaccurate technique.