An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?

"tPA should be administered within 12 hrs of the onset of a stroke."

"tPA is administered by intraarterial infusion."

"tPA is administered IV."

"PA requires BP monitoring during and 24 hrs after the treatment."

Answer and Explanation

The Correct Answer is A

A.   tPA (tissue plasminogen activator) should be administered within 3 to 4.5 hours of the onset of ischemic stroke symptoms, not 12 hours. Administering it after this window increases the risk of complications such as bleeding.
B.   tPA is administered by intraarterial infusion is true, but it refers to a specific technique for certain stroke types.
C.   tPA is administered IV is correct for intravenous administration in many cases of ischemic stroke.

D.   tPA requires BP monitoring during and 24 hrs after the treatment is accurate as blood pressure control is critical when administering tPA.

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Correct Answer is B

Explanation

A. Sitting at a 30° angle is not optimal for eating. The client should sit upright at a 90° angle to ensure safe swallowing.
B. Tilting the head forward while swallowing helps promote a safer swallow and reduces the risk of aspiration.
C. Coughing while swallowing is not a recommended strategy unless there is aspiration, and it does not address prevention of dysphagia.
D. Placing food on the weaker side of the mouth is not recommended. The food should be placed on the stronger side to improve swallowing safety.

A. "Use simple, child-like statements when speaking." B. "Incorporate nonverbal cues in the conversation." C. "Use a higher-pitched tone of voice when speaking." D. "Ask multiple choice questions as part of the conversation."

Correct Answer is B

Explanation

A. Using child-like statements may be demeaning and does not support effective communication. It is
important to speak at the client’s level and provide respect.
B. Incorporating nonverbal cues, such as gestures, facial expressions, and pictures, can help facilitate understanding and communication with a person who has aphasia.
C. Using a higher-pitched tone of voice does not aid comprehension and may be perceived as patronizing.
D. Asking multiple-choice questions is helpful, but it is not the most general approach. Using clear, simple language with nonverbal cues is more beneficial.

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An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

Correct Answer is B

Explanation

A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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