Author Question: The nurse is preparing to search for information about the latest treatment for foot wounds for ... (Read 13 times)

P68T · **on:** Jul 22, 2018

The nurse is preparing to search for information about the latest treatment for foot wounds for diabetic clients. The nurse realizes that this ability of the agency computer system:

1. Enhances nursing practice.
2. Allows for improved documentation.
3. Improves medication choices for the client.
4. Disseminates information to the administrative system.

Question 2

A client diagnosed with a stroke is going to receive treatment with fibrinolytic therapy using the recombinant tissue plasminogen activator alteplase. The nurse realizes that this treatment:

1. Is indicated if the stroke symptoms have occurred within 6 hours or less.
2. Is administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain.
3. Has not been associated with serious complications.
4. Is used to treat thrombotic and hemorrhagic strokes.

dawsa925 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Enhances nursing practice.

Rationale:
One goal of nursing informatics is to provide a mechanism whereby nurses have access to clinical information that will enhance nursing practice. Information searches do not improve documentation. The physician chooses the medication ordered. Searching for information does not affect the administrative system.

Answer to Question 2

2. Is administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain.

Rationale:
Thrombolytic therapy using recombinant tissue plasminogen activator is used to dissolve the clot formed with a thrombotic stroke. Dissolving the clot reestablishes cerebral circulation. The treatment can be used if the symptoms have occurred within 3 hours or less. Bleeding is a complication associated with the treatment, which may result in cerebral hemorrhage causing extensive brain damage and disability. The treatment is only used with thrombotic strokes.