When planning nursing care for a patient with a cerebral vascular accident, the nurse should consider which of the following as a goal of medical management?
1. restore cerebral blood flow and limit the size of the infarcted area of the brain
2. keep the blood pressure under control pharmacologically
3. transfer the patient to a long-term care facility as soon as she or he is medically stable
4. reestablish blood flow to the infarcted area surgically
1
Rationale: The goal is to recover as much function as possible. The most vulnerable area of the brain is the penumbra, and the sooner the circulation can be restored to that area the better the cells in that area will recover. Keeping the blood pressure under control pharmacologically is similar to the goals of medical management for a myocardial infarction. Transferring the patient to a long-term care facility as soon as medically stable is a goal for patients to recover enough function to return to their former settings. Surgical options are not available for most stroke patients.
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a. Child injured in a playground accident b. Elderly patient with total hip replacement c. A 49-year-old man in the emergency department with chest pain d. A 20-year-old with appendectomy
What are the two major processes involved in the inflammatory phase of wound healing?
A) bleeding is stimulated, epithelial cells are deposited B) granulation tissue is formed, collagen is deposited C) collagen is remodeled, avascular scar forms D) blood clotting is initiated, WBCs move into the wound
Ethical issues present a challenge in any health-care situation. Nurses must follow specific guidelines to protect and advocate for patients. Identify the statement that capsulizes every nurse's responsibility to clients
a. Nurses must follow the Nuremberg code of ethics in determining if certain research is safe for a client. b. The National Research Act provides the criteria that must be met in order to safe-guard clients during nursing research. c. If all criteria set by the Institutional Re-view Board are met, the nurse can be sa-tisfied that the client will be protected. d. The responsibility of professional nurses to protect every client extends beyond re-search to any client-related issue.
Six drams equals ________ fluid ounce(s).
A. 6 B. 1 C. 0.75 D. 12