A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for
a. surgical endarterectomy.
b. transluminal angioplasty.
c. intravenous heparin administration.
d. tissue plasminogen activator (tPA) infusion.
ANS: D
The patient's history and clinical manifestations suggest an acute ischemic stroke and a patient who is seen within 4.5 hours of stroke onset is likely to receive tPA (after screening with a CT scan). Heparin administration in the emergency phase is not indicated. Emergent carotid transluminal angioplasty or endarterectomy is not indicated for the patient who is having an acute ischemic stroke.
You might also like to view...
What is the main physiological problem in most types of heart failure?
a. Overstretching of the right ventricle so that too much blood leaves the heart b. Overstretching of the right ventricle so that too little blood leaves the heart c. Overstretching of the left ventricle so that too much blood leaves the heart d. Overstretching of the left ventricle so that too little blood leaves the heart
A nurse educator plans for a trip to a conference that is teaching nursing models specifically related to culturally diverse groups of populations. Which of the following models describes, explains,
and predicts factors within nursing-care situations that need to be addressed when providing nursing care to persons from different cultures? A) Leininger's Sunrise Model and Theory of Culture Care Diversity and Universality B) Purnell's Model for Cultural Competence C) Spector's Model of Heritage Consistency D) Giger and Davidhizar's Transcultural Assessment Model
In examining a patient for pediculosis capitis (head lice), the nurse would expect to find
a. Grayish-white parasites with red legs. b. Pustules or bites behind ears and at the hairline. c. Balding patches in periphery of the hairline. d. Brittle and broken hair.
The home health psychiatric nurse is working with a client with diabetes who is status post-myocardial infarction. The client states that he believes "all that touchy-feely stuff like relaxation exercises is for the birds"
The nurse explains that nonpharmacological interventions such as this work by: a. stimulating the sympathetic nervous system to respond to release stress hormones b. blocking the stress receptors in the heart and intestinal tissue c. erasing the thoughts and images connected to the stressful situation d. permitting the parasympathetic system to exert a calming influence during stressful situations