A client is in the emergency department reporting a brief episode ...

[jasdeep_brar]

A client is in the emergency department reporting a brief episode during which he was dizzy, unable to speak, and felt like his legs were very heavy. Currently the client's neurologic examination is normal. About what drug should the nurse plan to teach t
 
  a. Alteplase (Activase)
  b. Clopidogrel (Plavix)
  c. Heparin sodium
  d. Mannitol (Osmitrol)

Question 2

The nurse caring for a client with Guillain-Barr syndrome has identified the priority client problem of decreased mobility for the client. What actions by the nurse are best? (Select all that apply.)
 
  a. Ask occupational therapy to help the client with activities of daily living.
  b. Consult with the provider about a physical therapy consult.
  c. Provide the client with information on support groups.
  d. Refer the client to a medical social worker or chaplain.
  e. Work with speech therapy to design a high-protein diet.

[eliasc0401]

Answer to Question 1

ANS: B
This client's manifestations are consistent with a transient ischemic attack, and the client would be prescribed aspirin or clopidogrel on discharge. Alteplase is used for ischemic stroke. Heparin and mannitol are not used for this condition.

Answer to Question 2

ANS: A, B, E
Improving mobility and strength involves the collaborative assistance of occupational therapy, physical therapy, and speech therapy. While support groups, social work, or chaplain referrals may be needed, they do not help with mobility.