Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?
a. 1 hour
b. 2 hours
c. 3 hours
d. 5 hours
3 hours
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The staff are discussing the competency of a client who was recently involuntary admitted to the unit. Which of the following statements about competency is inaccurate?
1. Competency is affected by client compliance with treatment. 2. Competency is a medical determination made by the client's physician. 3. A guardian is appointed to make decisions on the person's behalf when the client is determined to be incompetent. 4. A competent client means the client can make reasonable judgments and decisions.
An older adult who is on bed rest has tachycardia and dry mucous membranes after sur-gery. Which is the nurse's priority for preventive care because of the patient's fluid vo-lume status?
a. Bowel obstruction b. Delirious behavior c. Thromboembolic events d. Delayed wound healing
A mother comes to the health care clinic for a regular health examination for her 5-year-old son prior to kindergarten admission. Which comment by the mother would indicate the need for follow-up questions to the mother?
1) "He's not a good boy like my other son." 2) "I've had to treat him for lice a couple of times." 3) "He has an imaginary friend he calls Buddy." 4) "He's so funny when he imitates his dad doing things."
The nurse reviews the laboratory tests of a patient receiving heparin therapy for a pulmonary embolism. The aPPT is 50 seconds. The nurse should:
a. notify the prescriber that the dosage should be increased. b. continue the present order because the level is therapeutic. c. withhold the next dose because the level is too high. d. start warfarin therapy because the patient is now heparinized.