Don is being brought in by ambulance because his wife thinks he might have had a stroke. After the physician in the ED worked him up, it was found that Don had a TIA
a. Discuss what TIAs are.
b. What are the presenting symptoms?
c. What is the treatment for them?
Students' answers should include the following:
a. Caused by a temporary interruption of the blood flow to the cerebral area of the brain
Interruption of the blood circulating is usually caused by atherosclerosis or arteriosclerosis.
Dysrhythmias and ineffective heart contractions can cause thrombi to form and cause TIAs.
Clients who have TIAs can later develop a stroke or CVA.
b. Symptoms may be as short as a few minutes to an hour or as long as a day.
Symptoms include confusion, light-headedness, speech changes, vision changes, numbness, weakness, paralysis, or muscle incoordination.
Symptoms are usually short lasting.
Bruit may be heard over carotid artery.
c. Medical treatment may include anticoagulants, blood pressure medications, antiplatelet medications, and daily aspirin.
You might also like to view...
Family members of an immunocompromised patient have asked the nurse why antibiotics are not being given to the patient in order to prevent infection. How should the nurse best respond?
A) "Using antibiotics to prevent infections can cause the growth of drug-resistant bacteria." B) "If an antibiotic is given to prevent a bacterial infection, the patient is at risk of a viral infection." C) "Antibiotics can never prevent an infection; they can only cure an infection that is fully developed." D) "Antibiotics cannot resolve infections in people who are immunocompromised."
A client with a nasotracheal tube in place has been restless and pulling at the tube. How should the nurse assess if the tube is still in place?
1. Count the client's respirations. 2. Assess the depth of the client's respirations. 3. Auscultate for bilateral breath sounds. 4. Deflate the cuff and listen for minimal leak.
Ordered: cefaclor 0.4 g PO q8h, for a child with otitis media Child's weight: 30 kg. Use a calculator. Available: a. SDR (refer to label): b. SDR for this child: c. Decision: safe or unsafe order? If unsafe, state the reason.If safe to give, how many milliliters should the nurse prepare?
d. Estimate: e. DA equation: f. Evaluation: Shade in the medicine cup to the nearest measurable dose. Indicate with an arrow on the syringe the additional amount to be added.
When the nurse is caring for a patient who has had left-sided extracorporeal shock wave lithotripsy, which assessment finding is most important to report to the health care provider?
a. Blood in urine b. Left flank pain c. Left flank bruising d. Drop in urine output