A client post-acute myocardial infarction asks the nurse why they are prescribed reteplase (Retavase) intravenously (IV). Which response should the nurse provide the client?
A. "The prescription dilates the arteries in the heart so it can get more oxygen."
B. "The prescription is dissolving the clot that has caused your heart attack."
C. "The prescription thins your blood so more clots will not develop."
D. "The prescription will increase the strength of the muscles in the heart during each beat."
Answer: B
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The nurse is preparing a care plan for a patient admitted with syndrome of inappropriate antidiuretic hormone secretion (SIADH). The priority nursing diagnosis for a patient with this condition is:
A) Deficient fluid volume B) Excessive fluid volume C) Hypothermia D) Hyperthermia
Which option reflects the nurse's duty to prevent patient falls?
1. The nurse has a duty to provide minimal assistance. 2. The nurse has a duty to assess the patient for risk for falls. 3. The nurse has a duty to provide continual observation of patients. 4. The nurse has a duty to see that siderails on all beds are raised at all times.
The nurse explains that a fundamental basis for the nursing process is:
a. that basic needs must be met by the indi-vidual without assistance. b. that patients and families appreciate an efficient health care system that functions without their input. c. a focus on disease control. d. that all persons have worth and dignity.
The nurse is performing a focused neurological assessment on a client. Which question should the nurse include when assessing the client's behaviors?
A. "Do you get headaches?" B. "Do you need to write things down to remember them?" C. "Are you currently taking any medications?" D. "Can you tell me what brought you here today?"