A client who first experienced a symptoms related to a confirmed thrombotic stroke 2 hours ago is brought to the intensive care unit. What drug should the nurse prepare to administer?
A. Tissue plasminogen activator
B. Heparin sodium
C. Gabapentin
D. Warfarin
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.
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A client with suspected osteomalacia has a fractured tibia and fibula. What test would give a definitive diagnosis of osteomalacia?
A) A bone biopsy B) Demineralization of the bone C) Increased and decreased areas of bone metabolism D) Elevated levels of alkaline phosphatase
A 15-year-old male presents to the clinic with fatigue, weakness, and sore throat for 4 days. The patient has no significant medical or surgical history
On physical examination, there is fever of 102, erythematous pharynx and tonsilar enlargement, and prominent cervical lymphadenopathy. Heart has regular rate and rhythm. Lungs are clear to auscultation. Abdomen exam demonstrates left upper quadrant tenderness to deep palpation and splenomegaly. Extremities show no significant findings. No neurological deficits. These signs and symptoms are characteristic of: A. Beta-hemolytic streptococcal infection B. Scarlet fever C. Infectious mononucleosis D. Human immunodeficiency viral infection
The nurse monitors a patient on total parenteral nutrition for the complication of:
1. respiratory congestion. 2. hypoglycemia. 3. vomiting. 4. hypotension.
The pediatric nurse is discussing vaccines for a well-child check at 1 year of age. Common vaccines to give at this time include:
1. Hib (Hemophilus Influenzae Type B) 2. RotaTeq. 3. MCV4 (Meningococcal). 4. DRaP (Diphtheria, Tetanus, Pertussis).