What specific actions or precautions should the nurse use when providing care to a client receiving thrombolytic therapy with streptokinase instead of t-PA?
A. Assess neurologic status every hour.
B. Observe all IV sites and wounds for bleeding.
C. Monitor the client for evidence of chest pain.
D. Observe the client for the presence of hives or shivering.
D
Streptokinase is derived from bacteria and can stimulate the body to make antibodies against it. Therefore, streptokinase can induce severe allergic reactions in sensitive clients; t-PA is not al-lergenic.
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When preparing the room for an elderly client coming to the provider's office for her annual physical examination, the nurse would do which of the following?
1. Turn the heat to 80°F. 2. Provide blankets for warmth. 3. Turn all the bright lights on. 4. Place towels on the floor.
A patient is admitted with nausea, vomiting, diarrhea, and abdominal pain. The patient appears emaciated and complains of feeling weak. The nurse notes a heart rate of 98 beats per minute and a blood pressure of 88/54 mm Hg
The nurse reviews the chart and notes an increased serum po-tassium level and a decreased serum sodium level. The nurse expects the provider to order which medication initially? a. Cosyntropin [Cortrosyn] b. Dexamethasone c. Fludrocortisone [Florinef] d. Hydrocortisone
The nurse is caring for a 72-year-old one-day postoperative colectomy client. The nurse assesses an increased work of breathing, diminished breath sounds at the bases with fine inspiratory crackles, respirations 12 and shallow, and pulse oximetry 96% on 2 L oxygen. There is no jugular venous distension or peripheral edema. Pain is regulated with client-controlled morphine. What is the most appropriate prescription for the nurse to carry out?
a. Bolus dose of intravenous (IV) morphine b. Incentive spirometer c. IV furosemide d. Non-rebreather mask
The even-numbered pounds on the upright scale are marked with long lines.
Answer the following statement true (T) or false (F)