A woman brings her husband to the emergency department and tells the nurse that her husband just had a stroke. The physician verifies a thrombotic stroke occurred and plans to use alteplase (Activase). What priority assessment question will the nurse ask the wife?
1. "What other medications does your husband take?"
2. "Does your husband have hypertension?"
3. "What other medical illnesses does your husband have?"
4. "What time did your husband have the stroke?"
4
Rationale 1: Asking about medications is a good question but is not the priority.
Rationale 2: Asking about hypertension is a good question but is not the priority.
Rationale 3: Asking about illnesses is a good question but is not the priority.
Rationale 4: Alteplase (Activase) must be given within 3 hours of a thrombotic stroke for maximum effectiveness.
Global Rationale: Alteplase (Activase) must be given within 3 hours of a thrombotic stroke for maximum effectiveness. Asking about hypertension is a good question but is not the priority. Asking about medications is a good question but is not the priority. Asking about illnesses is a good question but is not the priority.
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