Thrombolytic therapy with recombinant tissue plasminogen activator (rtPA) is now recommended for the management of ischemic stroke if administration can be instituted within how many hours of onset of stroke symptoms?
a. 1
b. 4
c. 6
d. 10
B
National guidelines for the management of stroke are based on the results of the National Institute of Neurologic Disorders and Stroke rtPA Stroke Study. This study demonstrated that administration of recombinant tissue plasminogen activator within 3 hours of onset of the stroke was an effective and safe therapy for ischemic stroke. This time frame has now been expanded from 3 to 4.5 hours.
You might also like to view...
A coworker makes nasty comments to the nurse and the nurse notices the coworker shooting dirty looks at the nurse
The nurse approaches the coworker and says, "You seem angry with me. Can we talk about what's bothering you?" The coworker responds, "I'm not angry with you. Everything is fine." What behavior is this coworker demonstrating? 1. Conflict management 2. Conflict control 3. Passive-aggressive 4. Aggressive
When should the nurse collect evaluation data for this expected outcome? "Patient will maintain urine output of at least 30 mL/hour."
a. At the end of the shift b. Every 24 hours c. Every 4 hours d. Every hour
A 10-year-old female is arriving at a national spelling bee contest. Her heart starts beating faster and harder, and she begins to sweat. Which of the following is she experiencing?
a. Anticipatory response b. Homeostasis c. Reactive response d. Exhaustion stage
The nurse is emptying the bedside commode of a patient with chronic leukemia and notes that the stool is very dark. Which assumption should guide the nurse's action?
a. The patient ate something that turned the stool a dark color. b. The patient is most likely on iron supplements. c. The patient may be bleeding. d. The patient may be dehydrated.