A 62-year-old woman with a history of hypertension and hyperlipidemia presented to a primary stroke center with sudden onset of weakness of the right
... [Show More] side. On examination, she had a global aphasia, left gaze preference, right homonymous hemianopsia (field cut), right facial droop, dysarthria, and right hemiplegia. Which of these actions is your priority for this patient?
a. Transfer the patient to the neurological care unit
b. Prepare to administer a thrombolytic medication
c. Call the speech pathologist to the emergency department
d. Prepare the patient for a computerized tomography (CT) scan of the head correct answers d. Prepare the patient for a computerized tomography (CT) scan of the head
The nurse recognizes that the management within the first 24 hours for a patient with an acute CVA, who met the criteria and received tissue plasminogen activator (t-PA), will include the following (select all that apply):
a. Administering anti-thrombolics
b. Calling healthcare provider for VS outside of the ordered parameters
c. Conducting serial neuro checks and VS assessment
d. Monitoring for signs or symptoms of bleeding correct answers b. Calling healthcare provider for VS outside of the ordered parameters
c. Conducting serial neuro checks and VS assessment
d. Monitoring for signs or symptoms of bleeding
For a patient who is suspected of having a stroke, one of the most important pieces of information that the nurse can obtain is:
a. patient's hypertension history and management
b. last time patient was known to be without stroke symptoms
c. family history of stroke and other cardiovascular diseases
d. time of the patient's last meal correct answers b. last time patient was known to be without stroke symptoms
The nurse is caring for a patient who has just returned after having left carotid artery angioplasty and stenting. Which assessment information is of most concern to the nurse?
a. The patient has difficulty speaking.
b. The pulse rate is 102 beats/min.
c. There are fine crackles at the lung bases.
d. The blood pressure is 144/86 mm Hg. correct answers a. The patient has difficulty speaking.
While administering chemotherapy, your patient suddenly reports shortness of breath and pain in his back. What is your first action as a nurse?
a. Administer Benadryl, per hypersensitivity protocol [Show Less]