The nurse explains that a lumbar puncture is most helpful as a diagnostic tool for a new stroke patient, because it can help determine if the stroke:
1. is lacunar.
2. is hemorrhagic or embolic.
3. is complete or in evolution.
4. will result in paralysis.
2
Blood in the spinal fluid indicates hemorrhagic stroke and will help direct medical protocol in subsequent treatment.
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When following Standard Precautions, which personal protection equipment should be worn while attempting to control bleeding?
a. gloves only c. mask and gloves b. gown, gloves, mask, and goggles d. none
Which of the following orders should the nurse expect for a client admitted with a threatened abortion?
a. Pad count b. Ritodrine IV c. NPO d. Meperidine (Demerol) 50 mg every 3 hours prn
How does a risk nursing diagnosis differ from a possible nursing diagnosis?
a. A risk diagnosis is based on data about the patient. b. A possible diagnosis is based on partial (or incomplete) data. c. Nurses collect the data to support risk diagnoses. d. A possible diagnosis becomes an actual diagnosis when symptoms develop.
The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?
a. Administer the medication because it is within the therapeutic range. b. Notify the physician that the prescribed dose is in the toxic range. c. Notify the physician that the prescribed dose is below the therapeutic range. d. Change the dose to one that is within range.