A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?

Computerized tomography angiography (CTA)

Complete blood count (CBC)

Prothrombin time (PT)

Transesophageal echocardiogram (TEE)

Answer and Explanation

The Correct Answer is A

A.Computerized tomography angiography (CTA)

This is a likely diagnostic test that the provider may prescribe. CTA uses computed tomography (CT) imaging to visualize the blood vessels in the brain and neck. It can help identify areas of stenosis, occlusion, or other abnormalities in the blood vessels that may contribute to the TIA symptoms.

B. Complete blood count (CBC)

A complete blood count (CBC) is a routine laboratory test that assesses various components of blood, such as red blood cells, white blood cells, and platelets. While it may not be specific to diagnosing a transient ischemic attack (TIA), it can help evaluate for underlying conditions such as anemia or thrombocytosis that could contribute to TIA symptoms or increase the risk of stroke.

C. Prothrombin time (PT)

Prothrombin time (PT) is a laboratory test that evaluates the clotting ability of blood and is typically used to monitor anticoagulant therapy. While abnormal coagulation parameters may be associated with certain conditions that predispose to TIA (such as atrial fibrillation), PT alone is not a specific diagnostic test for TIA.

D. Transesophageal echocardiogram (TEE)

This is another possible diagnostic test that the provider may prescribe. TEE is a specialized echocardiogram that provides detailed images of the heart structures by inserting an ultrasound probe

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Correct Answer is A

Explanation

A. Lie flat:

This option involves instructing the patient to lie flat on their back without elevating their head. Lying flat helps to maintain consistent pressure in the spinal canal, reducing the likelihood of CSF leakage from the puncture site. This position is commonly recommended after a lumbar puncture to prevent or minimize the occurrence of post-lumbar puncture headaches (PLPH).

B. Lie on left side:

This option involves instructing the patient to lie on their left side. While lying on the left side may provide some relief by reducing pressure on the lumbar puncture site, it is not typically recommended immediately after the procedure to prevent PLPH. Lying flat is generally preferred to minimize changes in CSF pressure and reduce the risk of headache.

C. Stay in semi-Fowler position:

The semi-Fowler position involves elevating the head of the bed at a 30-45 degree angle. This position is not typically recommended immediately after a lumbar puncture because it may increase CSF leakage and pressure changes, potentially exacerbating the risk of developing a headache.

D. Ambulate in the room with assistance:

Ambulating shortly after a lumbar puncture is not typically recommended as it may increase the risk of developing a headache. Movement and changes in posture can exacerbate CSF leakage and pressure changes at the puncture site, leading to the development of post-lumbar puncture headaches.

Correct Answer is ["10"]

Explanation

To calculate the dose of valproic acid oral solution, the nurse should use the following formula:

Dose (mL) = Ordered dose (mg) / Concentration (mg/mL) x Volume (mL)

Plugging in the values from the question, we get:

Dose (mL) = 500 mg / (250 mg / 5 mL) x 5 mL

Simplifying, we get:

Dose (mL) = 500 mg / 50 mg x 5 mL

Dose (mL) = 10 mL

Therefore, the nurse should administer 10 of valproic acid oral solution to the patient.

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A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which position should a nurse instruct a patient to assume after a lumbar puncture to prevent a headache?

Correct Answer is A

Explanation

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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