Which patients with CVAs are considered candidates for treatment with tPA? (Select all that apply.)
a. A 62-year-old construction worker who had a subdural hematoma 6 months earlier
b. A 58-year-old executive with a bleeding ulcer
c. A 44-year-old individual who had a sei-zure at the onset of a stroke
d. A 40-year-old individual who is taking warfarin (Coumadin) and has an INR of 2.5
e. A 19-year-old young adult with leukemia with a platelet count of 200,000
A, E
The criteria for exclusion are a head injury within the last 3 months, a platelet count less than 100,000, active gastrointestinal bleeding, current treatment with an anticoagulant, and a seizure noted at the time of the CVA.
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Which describes the Babinski reflex?
a. Downward curl of the toes b. Big toe bending upward c. Spreading out of the toes d. Pain in the big toe
One of the laboratories in your hospital budgeted $24,000 for procedure activity. However, when reviewing the data, the head of the department realized that the actual cost was $26,250 . What was the variance?
a. 9.1 percent c. 10.4 percent b. 9.4 percent d. 110 percent
A nurse has begun to implement the nursing process by performing a comprehensive assessment of a new client. Which of the following is the best example of assessment?
A) Monitoring behavior and mental status after administering an antipsychotic B) Determining if the client has benefited from stress management education C) Asking the wife of a comatose client if the client has a history of diabetes D) Teaching the client to self-monitor heart rate with aerobic activity
A patient with a mental illness says, "I have to go to the bank. The voices are telling me to go there." Which response by the nurse is best?
a. "Do you need money?" b. "I will call you a cab later. Right now, it is time for therapy." c. "Why do you think the voices are telling you to go to the bank?" d. "I want to help you focus away from the voices. I am real, they are not."