This topic contains a solution. Click here to go to the answer

Author Question: A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the ... (Read 68 times)

Engineer

  • Hero Member
  • *****
  • Posts: 527
A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?
 
  a. Assess the client's pupillary responses.
  b. Request a neurologic consultation.
  c. Stop the infusion and call the provider.
  d. Take and document a full set of vital signs.

Question 2

A client has an intra-arterial blood pressure monitoring line. The nurse notes bright red blood on the client's sheets. What action should the nurse perform first?
 
  a. Assess the insertion site.
  b. Change the client's sheets.
  c. Put on a pair of gloves.
  d. Assess blood pressure.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jordangronback

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

ANS: C
A change in neurologic status in a client receiving t-PA could indicate intracranial hemorrhage. The nurse should stop the infusion and notify the provider immediately. A full assessment, including pupillary responses and vital signs, occurs next. The nurse may or may not need to call a neurologist.

Answer to Question 2

ANS: C
For the nurse's safety, he or she should put on a pair of gloves to prevent blood exposure. The other actions are appropriate as well, but first the nurse must don a pair of gloves.




Engineer

  • Member
  • Posts: 527
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


CAPTAINAMERICA

  • Member
  • Posts: 325
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

For a complete list of videos, visit our video library