After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about
a. cerebral aneurysm clipping.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA).
ANS: C
The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit platelet aggregation are prescribed after a TIA to prevent stroke. Continuous heparin infusion is not routinely used after TIA or with acute ischemic stroke. The patient's symptoms are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not for TIA.
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The nurse is working with a health care team with that believes in the philosophy of reality therapy. The nurse is aware that the team's belief is centered around:
a. Reorientation of the client to his or her environment b. Describing clients as irresponsible rather than mentally ill c. Looking at the client's past in determining how it has affected present behavior d. Accepting the client's perceptions of right and wrong behavior in the development of his treatment plan
A patient recovering from a total nephrectomy is being discharged. What should the nurse instruct the patient about care at home?
Select all that apply. 1. Avoid contact sports and falls. 2. Older males should schedule routine screening exams for prostatic hypertrophy. 3. Monitor weight. 4. Monitor for signs of rejection. 5. Maintain prescribed fluid restrictions.
The phase of the nurse-client relationship that may cause anxieties to reappear and past losses to be reviewed is the
A. pre-orientation. B. orientation. C. working. D. termination.