A client was admitted with the diagnosis of a brain attack. Their symptoms began 24 hours before being admitted. Why would this client not be a candidate for for thrombolytic therapy?
What will be an ideal response?
Answer: Thrombolytic therapy is contraindicated in clients with symptom onset longer than 3 hours prior to admission. This client had symptoms for 24 hours before being brought to the medical center
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After insertion of a chest tube for a pneumothorax, a patient becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. The nurse suspects a tension pneumothorax has occurred
For what cause of tension pneumothorax should the nurse check? A) Infection of the lung B) Kinked or obstructed chest tube C) Excessive water in the water-seal chamber D) Excessive chest tube drainage
Calculate the amount to administer: _______________. Ordered: Neupogen 120 mcg subcut daily. See
label for available medication. A. 4 mL B. 0.04 mL C. 40 mL D. 0.4 mL
The nursing instructor is teaching student nurses about humoral and cell-mediated immune responses. What does the best teaching plan include?
1. Helper T cells are an important part of humoral immunity. 2. Humoral immunity refers to immune responses where targets are attacked by immune cells. 3. B lymphocytes are an important part of cell-mediated immunity. 4. Humoral immunity refers to immune responses that are mediated by antibodies.
A person does not like drafts. Which of the following should you do?
a. Make sure you put triple layers on the person. b. Offer the person another roommate. c. Always keep the person covered with a bath blanket. d. Keep the person away from drafty areas.