A 90 year old female with no significant history is admitted to the ER for acute ischemic stroke with symptoms that began 7 hours prior to admission
Which of the following interventions would the nurse reasonably expect to be done for this patient? a. diagnostic testing such as MRI
b. discussion of t-Pa as immediate treatment
c. stroke team consult
d. a and c only
D
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The nurse admits a patient to the emergency department and recognizes the patient is in diabetic ketoacidosis (DKA) when what manifestations are assessed? (Select all that apply.)
A) Fruity breath B) Edema C) Dehydration D) Agitation E) slow and deep respirations
The nurse assesses that the CVA patient is in transition to the rehabilitation phase when:
1. the blood pressure has been within normal limits for 24 hours. 2. the patient makes positive statements about his condition. 3. there are no further neurologic deficits observed. 4. there are successful attempts at independent function.
In intermittent IV heparin therapy, the blood for the activated partial thromboplastin time (aPTT) should be drawn:
1. 1 hour before the next dose. 2. 2 hours after the last dose. 3. 30 minutes before the next dose. 4. 2 1/2 hours before the next dose.
A goniometer is a useful assessment tool for measuring:
A) Extremity length. B) Muscle strength. C) Muscle tension. D) Range of motion (ROM).