A patient arrives in the emergency department at 0200 exhibiting signs and symptoms of a stroke. The patient went to bed at 2300 and was "feeling fine" but woke up at 0100 to go to the restroom and fell on the way there. The CT scan shows a hemorrhagic stroke. For what reason would tPA therapy be withheld?

tPA is not delivered for hemorrhagic stroke.

The total effects of ischemia are not currently known.

Too much time has passed since the symptoms began.

The patient's symptoms have progressed too quickly.

Answer and Explanation

The Correct Answer is A

A. tPA is not delivered for hemorrhagic stroke: This is correct. tPA is a thrombolytic medication used for ischemic strokes, not haemorrhagic strokes, as it would exacerbate bleeding.
B. The total effects of ischemia are not currently known: While assessing the extent of ischemia is important for ischemic stroke, it is irrelevant here because the stroke is hemorrhagic.
C. Too much time has passed since the symptoms began: The time window is important for tPA in ischemic strokes, but in this case, the type of stroke (haemorrhagic) is the determining factor.
D. The patient's symptoms have progressed too quickly: The progression of symptoms does not affect the decision to use tPA; the contraindication is solely due to the hemorrhagic nature of the stroke.

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Correct Answer is A

Explanation

A. "This medication will help lower my cholesterol.": Statins are primarily used to lower cholesterol levels, which helps reduce the risk of cardiovascular diseases including strokes.
B. "This medication can help protect my brain from a stroke.": While statins indirectly help reduce the risk of a stroke by lowering cholesterol, they do not directly protect the brain from stroke.
C. "This medication will help stop plaques in my blood vessels.": Statins can reduce the progression of atherosclerosis by lowering cholesterol, but they do not stop plaque formation completely.
D. "Muscle pains are normal for the first few weeks.": Muscle pain (myopathy) can be a side effect of statins and should be reported to a healthcare provider, as it can indicate a serious condition like rhabdomyolysis, not something that should be considered normal.

A. Risk of infection is great. B. Replantation can occur. C. Postoperative therapy will be required. D. Prosthetic fitting is often prescribed.

Correct Answer is ["A","B","C"]

Explanation

A. Risk of infection is great.: Traumatic amputations create an open wound, increasing the risk of infection. Proper wound care and monitoring for signs of infection are critical.
B. Replantation can occur.: Depending on the severity of the injury and the viability of the amputated part, replantation is possible and is a common consideration in the plan of care.
C. Postoperative therapy will be required.: Rehabilitation, including physical therapy, is essential for restoring function and mobility in the affected limb after amputation or replantation.
D. Prosthetic fitting is often prescribed.: While prosthetics can be used for finger amputations, not all cases require them, especially if replantation is successful. This is less common compared to major limb amputations.

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Naxlex Comprehensive Predictor Exams

The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Correct Answer is A

Explanation

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

Correct Answer is ["A","B","C"]

Explanation

Which statement best describes a strain?

A patient comes into the emergency department with symptoms of a stroke that began 2 hours ago. Diagnostic testing confirms an ischemic stroke is present. What medications should the nurse anticipate will be delivered?

A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

A patient is hospitalized poststroke. The nurse approaches the patient from the patient's left side to provide morning care. The patient is staring straight ahead and does not respond to the nurse's presence or voice. Which action should the nurse take first?