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patient who awakens from 6 hours of sleep with symptoms of stroke - correct ans:What is a
contraindication to the administration of rt-PA in a patient with suspected ischemic stroke?
,decreasing level of consciousness - correct ans:The nurse is monitoring Mr. Stewart after he receives rt-
PA. Which clinical manifestation indicated an adverse effect of rt-PA?
right side lying - correct ans:A patient who recently recevied a liver transplant had a liver biopsy. Upon
returning from the biopsy, how should the nurse position the patient?
EGD - correct ans:A patient with liver disease is being evaluation for varices. The nurse prepares the
patient for which procedure?
1. oxygen
2. assess site for bleeding
3. monitor blood pressure
4. change empty bag of normal saline - correct ans:Following a liver biopsy, in which order should the
complete the following tasks.
lactulose and low-protein diet - correct ans:The nurse is caring for a patient with liver failure notes a
change in mental status and elevated ammonia level. Which ordered interventions are most directly
related to treating these clinical manifestations?
120 - correct ans:The nurse is caring for a client with acute pancreatitis. The physician has ordered
gentamicin, 3 mg/kg/day, in three divided doses. The patient weighs 264 lb. How many mg of
gentamicin will the patient receive per dose? ________mg/dose (round to the nearest whole number).
hepatitis A - correct ans:What type of hepatitis is the most common type of hepatitis and is primarily
spread through the oral route from food, water, or shellfish that has been infected with the virus?
hepatitis B - correct ans:What type of hepatitis is spread by blood and body fluids or secretions such as
semen. The virus can be spread through mucous membranes, contact with infected fluids, during
childbirth, or through the puncture of a contaminated needle or other instrument?
hepatitis C - correct ans:What type of hepatitis is spread through blood or body fluids and from mother
to child during childbirth?
, hepatitis E - correct ans:What type of hepatitis is transmitted via the fecal-oral route primarily through
water that is contaminated in areas of poor sanitation?
ECG - correct ans:A patient has been admitted to the ICU in diabetic ketoacidosis. The patient is
receiving normal saline, 0.9%, and a regular insulin drip. What is a priority assessment for this patient?
desmopresin (DDAVP) - correct ans:A patient is being treated for diabetes insipidus (DI). Which
medication should the nurse prepare to administer?
deep rapid respirations - correct ans:A patient with type 1 diabetes mellitus has not taken insulin for
several days. Which observation indicates that diabetic ketoacidosis (DKA) could be developing?
4 - correct ans:Based on the below scale. If your patient's blood sugar is 187 and they are on the average
before meal sliding scale. How many units would they receive? _____ units Answer with the number
only. Round to the nearest tenths.
muscle relaxants - correct ans:A patient with multiple sclerosis is admitted for treatment of clinical
manifestations. What should the nurse expect to be prescribed for this patient?
it is a hypertonic solution that will be used to decrease brain swelling - correct ans:Why is a 3% sodium
chloride ordered for a patient with increased ICP?
halo sign - correct ans:An 18-year-old female is admitted to the ICU with a skull fracture after a motor
vehicle accident. Her nurse notices that the patient has what appears to be blood leaking from her nose
and decides to test the fluid. What finding would indicate to the nurse that the patient has a leakage of
CSF?
a patient whose right pupil is 10 mm and unresponsive to light - correct ans:After the emergency
department nurse has received a status report on the following patients who have been admitted with
head injuries, which patient should the nurse assess first?