The nurse is caring for a patient who experienced an ischemic stroke 8 hours ago
The nurse would expect an order to administer which medications designed to prevent further obstruction of vascular cerebral blood flow? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Intravenous dopamine
2. Intravenous mannitol
3. Subcutaneous insulin
4. Intravenous heparin
5. Subcutaneous low-molecular-weight heparin
4,5
Rationale 1: Intravenous dopamine is a vasopressor directed at stabilizing blood pressure.
Rationale 2: Intravenous mannitol is used to reduce intracranial pressure and brain mass.
Rationale 3: Subcutaneous insulin may be used to manage hyperglycemia resulting from the ineffective utilization of glucose.
Rationale 4: Anticoagulation with IV infusion of heparin for several days during the acute care management of a patient with ischemic stroke is common.
Rationale 5: Subcutaneous low-molecular-weight heparin (LMWH) can be used to manage a patient after ischemic stroke.
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The nurse understands that a nonsteroidal anti-inflammatory drug considered to be more ulcerogenic than aspirin is:
a. ibuprofen. c. indomethacin. b. prednisone. d. methotrexate.
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Indicate whether the statement is true or false.
When teaching clients how to minimize local skin reactions from insulin injections, the nurse should instruct the clients to:
a. keep insulin refrigerated until ready to draw up and administer. b. inject insulin slowly. c. give insulin in divided doses. d. bring the insulin to room temperature before injection.