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 D

Explanation

A. Lying prone as prescribed: While lying prone can help prevent hip flexion contractures, it is not directly related to promoting ambulation. It is typically part of post-operative care to prevent contractures in the hip, but ambulation primarily depends on upper body strength and prosthetic training.
B. Maintaining residual limb elevation: Elevation of the residual limb is important immediately postoperatively to reduce swelling, but prolonged elevation can lead to contractures, which can hinder ambulation.
C. Promoting coordination exercises: Coordination is important, but for ambulation, building strength, especially in the upper body, is crucial to support the use of assistive devices and maintaining balance.
D. Building upper body strength: This is essential for promoting ambulation as it helps the patient in using assistive devices like crutches or walkers and in transferring safely. Upper body strength is crucial for balance and mobility with a prosthetic limb.

A. There should be 6-8 servings of grains daily. B. Nuts, seeds, dry beans, and peas should be consumed daily. C. Meat should be eliminated from the diet. D. Dairy intake should be low-fat or fat-free. E. Monounsaturated fats and oils are preferred.

Correct Answer is ["A","D","E"]

Explanation

A. There should be 6-8 servings of grains daily: The DASH (Dietary Approaches to Stop Hypertension) diet recommends 6-8 servings of grains, especially whole grains, each day to provide energy, fiber, and essential nutrients.
B. Nuts, seeds, dry beans, and peas should be consumed daily: While these foods are part of the DASH diet, they are not recommended for daily consumption. The diet typically suggests 4-5 servings per week.
C. Meat should be eliminated from the diet: The DASH diet does not require the elimination of meat. It recommends choosing lean meats and consuming them in moderation.
D. Dairy intake should be low-fat or fat-free: The DASH diet emphasizes low-fat or fat-free dairy products to reduce saturated fat intake and promote heart health.
E. Monounsaturated fats and oils are preferred: The DASH diet encourages the use of healthier fats, such as those from monounsaturated sources like olive oil, to help manage cholesterol levels and support cardiovascular health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient after an above-the-knee amputation because of diabetes complications. Which nursing care is essential for promoting ambulation?

Correct Answer is D

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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