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 A

Explanation

A. A Glasgow Coma Scale score of 6 indicates a severe impairment of consciousness, and the client would require total nursing care.
B. A score of 6 does not indicate the client is alert and oriented. The client has a decreased level of consciousness.
C. A score of 6 does not suggest a deep coma. The client is in a moderate state of impaired consciousness.
D. A score of 6 indicates significant neurologic compromise, not stable neurologic status.

A. Nicardipine B. Dopamine C. Mannitol D. Phenytoin

Correct Answer is C

Explanation

A. Nicardipine is a calcium channel blocker used for blood pressure management, not for decreasing ICP.
B. Dopamine is used for shock or hypotension but does not address ICP.
C. Mannitol is an osmotic diuretic used to decrease ICP by drawing fluid out of the brain and reducing swelling.
D. Phenytoin is an anticonvulsant used to prevent seizures, but it does not directly affect ICP.

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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 assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?

Correct Answer is A

Explanation

A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

Correct Answer is C

Explanation

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