A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA). During the assessment, the patient begins to complain of a severe headache and numbness in his left arm
Which action should the nurse take next? a. Instruct the patient to take Tylenol.
b. Ask whether patient suffers from migraine headaches.
c. Reschedule the visit.
d. Call 9-1-1
D
The home health nurse should immediately call 9-1-1 . Approximately 24% to 29% of those who have a TIA will have a stroke within 5 years after the event (Goldstein, 2011). Tylenol would not be advised. The nurse should not leave the patient until the patient is en route to the emergency department.
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The nurse is preparing to assist the client with meditation and breathing. In preparing to imple-ment this therapy, the first step is to:
1. Position the client 2. Provide a warm environment 3. Have the client close his/her eyes 4. Note areas of tension or pain
Ask family members and friends to leave the room while you are performing admission procedures.
Answer the following statement true (T) or false (F)