The nurse is aware that an absolute contraindication for thrombolytic therapy is seen in a patient:
A) Who is anticoagulated
B) Who is hypertensive
C) With evidence of stroke evolution
D) With symptom onset of less than 3 hours prior to admission
Ans: A
Feedback: A patient who is anticoagulated would be at too high a risk for bleeding; thrombolytic therapy must occur within 3 hours of onset of symptoms due to revascularization of necrotic tissue which increases the risk for cerebral edema and hemorrhage.
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A nurse reviews a female client's laboratory results. Which results from the client's urinalysis should the nurse recognize as abnormal?
a. pH 5.6 b. Ketone bodies present c. Specific gravity of 1.020 d. Clear and yellow color
The client says, "I am convinced that the mind-body interventions I am using are improving my health." The nurse would ask additional questions about which complementary and alternative therapies that belong to this category?
A. Yoga B. Massage C. Dance D. Herbal therapies E. Biofeedback
MC According to the WHO three-step Analgesic Ladder for Pain Control, Step 2 includes:
A. Use of non-opiod with adjunctive drugs. B. Opiod for moderate to severe pain and adjunctive drugs. C. Opiod for mild to moderate pain and non-opiod drug. D. Opiod for severe pain without non-opiod.
Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a "shot
" The nurse would explain that vitamin K injections are given to newborn infants to: 1. Activate clotting factors. 2. Break up blood clots. 3. Promote red blood cell function and assist in gas exchange. 4. Promote the production of hemoglobin.