Author Question: A 72-year-old patient who has a history of a transient ischemic attack (TIA) has an order for ... (Read 56 times)

stevenposner

  • Hero Member
  • *****
  • Posts: 608
A 72-year-old patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, I don't need the aspirin today. I don't have a fever.
 
  Which action should the nurse take?
  a. Document that the aspirin was refused by the patient.
  b. Tell the patient that the aspirin is used to prevent a fever.
  c. Explain that the aspirin is ordered to decrease stroke risk.
  d. Call the health care provider to clarify the medication order.

Question 2

A 47-year-old patient will attempt oral feedings for the first time since having a stroke. The nurse should assess the gag reflex and then
 
  a. order a varied pureed diet.
  b. assess the patient's appetite.
  c. assist the patient into a chair.
  d. offer the patient a sip of juice.



blakcmamba

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

ANS: C
Aspirin is ordered to prevent stroke in patients who have experienced TIAs. Documentation of the patient's refusal to take the medication is an inadequate response by the nurse. There is no need to clarify the order with the health care provider. The aspirin is not ordered to prevent aches and pains.

Answer to Question 2

ANS: C
The patient should be as upright as possible before attempting feeding to make swallowing easier and decrease aspiration risk. To assess swallowing ability, the nurse should initially offer water or ice to the patient. Pureed diets are not recommended because the texture is too smooth. The patient may have a poor appetite, but the oral feeding should be attempted regardless.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

As many as 20% of Americans have been infected by the fungus known as Histoplasmosis. While most people are asymptomatic or only have slight symptoms, infection can progress to a rapid and potentially fatal superinfection.

For a complete list of videos, visit our video library