A patient is in the emergency department being treated for an ischemic stroke. What is the nursing priority of care?
A) Refer for rehabilitation care
B) Initiate fibrinolysis within 3 hours
C) Initiate intravenous glucose therapy
D) Administer 100% oxygen by mask
B
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A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. Which of the following would be the most appropriate nursing response?
1. "Fatigue should resolve in the second trimester, but walking daily might help." 2. "Avoid a strenuous exercise regimen at your age. Drink coffee t.i.d." 3. "Avoid an exercise regimen due to your pregnancy. Try to nap daily." 4. "Fatigue will increase as pregnancy progresses, but jogging daily might help."
A patient presents with withdrawal, poor concentration, fatigue, weakness, anorexia and aches. What conditions should the nurse consider as part of a differential diagnosis?
1. Anxiety and multiple sclerosis 2. Depression and congestive heart failure 3. Anxiety and diabetes 4. Depression and acute inflammatory illness
During a 4-week postpartum checkup, the woman tells the clinic nurse that she is still bleeding. The nurse notes the presence of lochia rubra and a fundal height midway between the umbilicus and symphysis pubis
The nurse suspects late postpartum hemorrhage, most likely as a result of: a. An undetected cervical laceration b. Subinvolution of placental site c. A coagulation disorder d. Defective vascularity of the decidua
The nurse is completing an anthropometric measurement of an individual and should use which instruments to complete this assessment?
A. Yard stick and scale B. Yard stick and tape measure C. Tape measure and ruler D. Tape measure and skinfold caliper