Author Question: A client is being prepared for a mechanical embolectomy. What action by the nurse takes priority? ... (Read 124 times)

jwb375 · **on:** Jun 25, 2018

A client is being prepared for a mechanical embolectomy. What action by the nurse takes priority?

a. Assess for contraindications to fibrinolytics.
b. Ensure that informed consent is on the chart.
c. Perform a full neurologic assessment.
d. Review the client's medication lists.

Question 2

A client with a stroke is being evaluated for fibrinolytic therapy. What information from the client or family is most important for the nurse to obtain?

a. Loss of bladder control
b. Other medical conditions
c. Progression of symptoms
d. Time of symptom onset

welcom1000 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
For this invasive procedure, the client needs to give informed consent. The nurse ensures that this is on the chart prior to the procedure beginning. Fibrinolytics are not used. A neurologic assessment and medication review are important, but the consent is the priority.

Answer to Question 2

ANS: D
The time limit for initiating fibrinolytic therapy for a stroke is 3 to 4.5 hours, so the exact time of symptom onset is the most important information for this client. The other information is not as critical.