A client who first experienced symptoms related to a confirmed thrombotic stroke 2 hours ago is brought to the intensive care unit. Which prescribed medication does the nurse prepare to admi-nister?
a. Tissue plasminogen activator
b. Heparin sodium
c. Gabapentin (Neurontin)
d. Warfarin (Coumadin)
A
The client who has had a thrombotic stroke has a 3-hour time frame from the onset of symptoms to receive recombinant tissue plasminogen activator (rt-PA) to dissolve the cerebral artery occlu-sion and re-establish blood flow. Clients must meet eligibility criteria for administration of this therapy. The other medications do not assist in the re-establishment of blood flow for a client with a confirmed thrombotic stroke.
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Eight patients were burned in a factory fire. Shortly thereafter, four firefighters were seen with possible smoke inhalation problems. Which of the following best describes how these patients are different from the first patients to arrive?
a. Burn patients probably have skin damage, whereas the firefighters have lung damage. b. Burn patients will need extensive care over time, whereas the firefighters can probably stay the night with oxygen treatment and then be discharged. c. The burn patients were direct victims, whereas the firefighters are indirect victims. d. The second set of victims may have scarring, shortness of breath, and persistent hoarseness for the next few days.
Surgery that does not alter the course of disease but is effective in relieving symptoms in more advanced stages of cancer is classified as:
a. curative c. palliative b. elective d. reconstructive
After increasing fluid intake and administering stool softeners for a patient complaining of constipation, a nurse calls the physician to obtain an order to administer an enema. This is an example of a(n)
1. Dependent intervention. 2. Indirect intervention. 3. Independent intervention. 4. Collaborative intervention.
Which instructions would be most appropriate to include in a teaching plan for a client ready to be discharged after the repair of an AAA?
A. "You may drive your car any time." B. "Avoid sleeping on your left side." C. "Avoid lifting heavy objects for about 3 months." D. "You can expect to have an increase in abdominal girth for about 6 weeks."