What are your responsibilities during the administration of Activase (tPA)?
What will be an ideal response?
During the infusion, you need to perform a neurologic check, assess vital signs, and inspect the
infusion site for bleeding every 15 minutes for the first hour, every 30 minutes for the next 2 hours,
and then hourly for 24 hours. Place her on an ECG monitor. Initiate bleeding precautions. If the drug
is infusing peripherally in the unaffected arm, have her keep the extremity still and straight.
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The nurse is discharging a 15-year-old first-time mother. Which statement should the nurse include in the discharge teaching?
1. "Call your pediatrician if the baby's temperature is below 98°F." 2. "Your baby's stools will change to a golden color when your milk comes in." 3. "You can wipe away any eye drainage that might form." 4. "Your infant should wet a diaper at least six times per day."
The graduate nurse is providing diet instructions for an older woman diagnosed with metabolic syndrome. Which example would be the best foods to include in her diet?
A) Salmon or other oily fish, walnuts, and olive oil B) Bananas, whole-wheat toast, and dark chocolate C) Chicken, frozen vegetables, and whole-wheat pasta D) Eggs, soy milk, and fresh fruit
A 55-year-old male with acute pancreatitis is being admitted. What is the critical care nurse aware of concerning the common description of acute pancreatitis?
A) Toxic substances inflame the pancreas. B) The patient abuses alcohol. C) Viruses digest the pancreas. D) Pancreatic enzymes digest the pancreas.
A 29-year-old female patient is diagnosed with Chlamydia during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says which of the following?
a. "My partner will need to take antibiotics at the same time I do." b. "Go ahead and give me the antibiotic injection, so I will be cured." c. "I will use condoms during sex until I finish taking all the antibiotics." d. "I do not plan on having children, so treating the infection is not important."