Answers Already Graded A Latest 2024 /2025 Update
what additional assessment and stabilization activities should be completed ? -
ANSWER>>check glucose, perform validated prehospital stroke screen and stroke
severity tool, provide prehospital notification to the receiving hospital, initiate stroke
protocol, establish time of symptom onset ( last known normal)
what needs to be completed for this patient within 20 minutes after hospital arrival? -
ANSWER>>neurological assessment
what are some of the general questions you need to ask? - ANSWER>>do you take any
medications? when did the symptoms start? do you have allergies? what other
symptoms do you have?
within 45 minutes the neuroimaging interpretation of the CT scan of the brain suggests
an acute ischemic infarction. There are no signs of hemorrhage or mass lesions.
is this patient a potential candidate for fibrinolytic therapy? - ANSWER>>Yes
NOT Not enough information
what actions should the hospital staff take to determine whether the pt is a candidate
for fibrinolytic therapy? - ANSWER>>repeat the neurological exam
NOT obtain an MRI of the brain for confirmation of hemorrhage
, you find that the patient's neurological function is rapidly improving. Is this patient still
a candidate for fibrinolytic therapy? - ANSWER>>no
because this patient is no longer a candidate for fibrinolytic therapy, what are the next
steps? - ANSWER>>support airway,breathing, and circulation (ABCs), begin stroke
pathway, admit the patient to an intensive care unit
what initial action should be taken (respiratory ) - ANSWER>>check for
responsiveness, assess airway, breathing, and circulation, call for additional help
the patient is unresponsive and not breathing but has a strong pulse. What should your
initial actions include? - ANSWER>>open the patient"s airway via a head tilt-chin lift or
jaw thrust, initiate VE with a bag mask device attached to supplemental oxygen
bradycardia scenario
what should be your next steps be to assess and treat the patient - ANSWER>>obtain a
12 lead ECG, maintain airway and administer oxygen if needed, establish iv access
what is bradycadia rhythm - ANSWER>>third degree av block
-definied by less than 50/min rate, p waves and QRS complex firing independent of
each other
you determine the patient has poor perfusion
what is your next step - ANSWER>>administer atropine 1mg iv
patient does not respond to atropine. the vital signs are HR 34/min, bp 66/43 mm hg,
RR 18/min and SPo2 is 91%. He is responsive, but dizzy.