A patient comes into the emergency department with symptoms of a stroke that began 2 hours ago. Diagnostic testing confirms an ischemic stroke is present. What medications should the nurse anticipate will be delivered?

Heparin

Tissue-type plasminogen activator (tPA)

Warfarin

Clopidogrel

Answer and Explanation

The Correct Answer is B

A. Heparin: Heparin is an anticoagulant, but it is not typically used in the acute management of ischemic stroke because it does not dissolve clots already formed. It may be used later for prophylaxis against new clots.
B. Tissue-type plasminogen activator (tPA): This is correct. tPA is a thrombolytic agent that can dissolve the clot causing the stroke. It is most effective when given within a few hours of symptom onset, making it the appropriate medication in this scenario.
C. Warfarin: Warfarin is an oral anticoagulant used for long-term prevention of clot formation but is not suitable for immediate thrombolytic therapy in acute ischemic stroke.
D. Clopidogrel: Clopidogrel is an antiplatelet medication used for secondary prevention of strokes but is not used for acute thrombolysis.

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Correct Answer is A

Explanation

A. Uric acid: Elevated uric acid levels are the hallmark of gout and are used to monitor and diagnose the condition. Managing uric acid levels is crucial to prevent gout attacks.
B. Blood urea nitrogen: This is more related to kidney function and not directly relevant to gout.
C. Creatinine: Also related to kidney function. While kidney function is important in gout patients, uric acid levels are more directly related to gout management.
D. Cholesterol: High cholesterol is a cardiovascular risk but is not directly related to gout. Monitoring cholesterol is important but not the primary focus for gout management.

A. Place three pillows between the legs, one distal and three proximal. B. Side-lying position is permitted with a pillow between the legs. C. Sitting in a bedside chair is permitted if the legs are elevated. D. A triangular pillow is used between the legs to avoid adduction.

Correct Answer is D

Explanation

A. Place three pillows between the legs, one distal and three proximal: This is incorrect and excessive. Using three pillows in this manner can lead to improper leg positioning and discomfort.
B. Side-lying position is permitted with a pillow between the legs: While side-lying is allowed, the pillow is to prevent adduction of the legs, not just any pillow placement. It must specifically keep the hips aligned.
C. Sitting in a bedside chair is permitted if the legs are elevated: While sitting is often encouraged, elevating the legs too high can risk hip dislocation or improper alignment. The patient should sit in a way that maintains proper hip angles and alignment.
D. A triangular pillow is used between the legs to avoid adduction: A triangular or abduction pillow helps keep the legs in an appropriate position, preventing the legs from crossing and reducing the risk of hip dislocation post-surgery.

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A patient comes into the emergency department with symptoms of a stroke that began 2 hours ago. Diagnostic testing confirms an ischemic stroke is present. What medications should the nurse anticipate will be delivered?

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