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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Obtain an electrocardiogram (ECG) exam: While an ECG is important to assess cardiac status, it is not the immediate priority compared to addressing the low oxygen saturation.
B. Obtain intravenous access: IV access is important for administering medications and fluids but does not take precedence over addressing hypoxia.
C. Administer 2 L of oxygen per nasal cannula: This is correct. The priority is to improve oxygenation since hypoxia can exacerbate neurological damage in a stroke patient. An SpO2 of 88% is low and requires immediate correction to prevent further complications.
D. Obtain a rectal temperature: Temperature assessment is not as urgent as addressing the immediate need for oxygen to improve SpO2 levels.

A. "This medication will help lower my cholesterol." B. "This medication can help protect my brain from a stroke." C. "This medication will help stop plaques in my blood vessels D. "Muscle pains are normal for the first few weeks."

Correct Answer is A

Explanation

A. "This medication will help lower my cholesterol.": Statins are primarily used to lower cholesterol levels, which helps reduce the risk of cardiovascular diseases including strokes.
B. "This medication can help protect my brain from a stroke.": While statins indirectly help reduce the risk of a stroke by lowering cholesterol, they do not directly protect the brain from stroke.
C. "This medication will help stop plaques in my blood vessels.": Statins can reduce the progression of atherosclerosis by lowering cholesterol, but they do not stop plaque formation completely.
D. "Muscle pains are normal for the first few weeks.": Muscle pain (myopathy) can be a side effect of statins and should be reported to a healthcare provider, as it can indicate a serious condition like rhabdomyolysis, not something that should be considered normal.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 assists with care of a confused patient who presents to the emergency department with stroke symptoms. Vital signs are blood pressure 174/100 mm Hg. pulse 64 beats per minute, and SpO2 88% on room air. Which nursing intervention is priority?

Correct Answer is C

Explanation

The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Correct Answer is A

Explanation

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

The nurse explains to the patient that blood pressure measures

The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?

On which lifestyle modifications would the nurse reinforce teaching with the patient to reduce the risk of hypertension? Select all that apply.

The nurse would evaluate the patient as understanding reinforcement of teaching for peripheral arterial occlusive disease if the patient stated that which of the following is the classic symptom?

The nurse is caring for a patient with a tumor of the bone who experiences a fracture. Which type of break is anticipated?