A nurse has applied to work at a hospital that has National ...

[ashley]

A nurse has applied to work at a hospital that has National Stroke Center designation. The nurse realizes the hospital adheres to eight Core Measures for ischemic stroke care. What do these Core Measures include? (Select all that apply.)
 
  a. Discharging the client on a statin medication
  b. Providing the client with comprehensive therapies
  c. Meeting goals for nutrition within 1 week
  d. Providing and charting stroke education
  e. Preventing venous thromboembolism

Question 2

A nursing student studying traumatic brain injuries (TBIs) should recognize which facts about these disorders? (Select all that apply.)
 
  a. A client with a moderate trauma may need hospitalization.
  b. A Glasgow Coma Scale score of 10 indicates a mild brain injury.
  c. Only open head injuries can cause a severe TBI.
  d. A client with a Glasgow Coma Scale score of 3 has severe TBI.
  e. The terms mild TBI and concussion have similar meanings.

[vish98]

Answer to Question 1

ANS: A, D, E
Core Measures established by The Joint Commission include discharging stroke clients on statins, providing and recording stroke education, and taking measures to prevent venous thromboembolism. The client must be assessed for therapies but may go elsewhere for them. Nutrition goals are not part of the Core Measures.

Answer to Question 2

ANS: A, D, E
Mild TBI is a term used synonymously with the term concussion. A moderate TBI has a Glasgow Coma Scale (GCS) score of 9 to 12, and these clients may need to be hospitalized. Both open and closed head injuries can cause a severe TBI, which is characterized by a GCS score of 3 to 8.