A client in the emergency department is having a stroke. The ...

[Mr3Hunna]

A client in the emergency department is having a stroke. The client weighs 225 pounds. After the initial bolus of t-Pa, at what rate should the nurse set the IV pump?
 
  (Record your answer using a decimal rounded to the nearest tenth.) ____ mL/hr

Question 2

A nurse is dismissing a client from the emergency department who has a mild traumatic brain injury. What information obtained from the client represents a possible barrier to self-management? (Select all that apply.)
 
  a. Does not want to purchase a thermometer
  b. Is allergic to acetaminophen (Tylenol)
  c. Laughing, says Strenuous? What's that?
  d. Lives alone and is new in town with no friends
  e. Plans to have a beer and go to bed once home

[vish98]

Answer to Question 1

ANS:
1.4 mL/hr
The client weighs 102 kg. The dose of t-PA is 0.9 mg/kg with a maximum of 90 mg, so the client's dose is 90 mg.
10 of the dose is given as a bolus IV over the first minute (9 mg). That leaves 81 mg to run in over 59 minutes.
, which rounds to 1.4 mL/hr.

Answer to Question 2

ANS: B, D, E
Clients should take acetaminophen for headache. An allergy to this drug may mean the client takes aspirin or ibuprofen (Motrin), which should be avoided. The client needs neurologic checks every 1 to 2 hours, and this client does not seem to have anyone available who can do that. Alcohol needs to be avoided for at least 24 hours. A thermometer is not needed. The client laughing at strenuous activity probably does not engage in any kind of strenuous activity, but the nurse should confirm this.