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Patient Data

Exhibits

The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion. The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration. The client was noted to be stable with unchanged neurologic assessments. The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery.
What interdisciplinary team member(s) should assist the client in recovery? Select all that apply.

Case Manager

Occupational Therapist

Speech Therapist

Respiratory Therapist

Chief Nursing Officer

Medical Assistant

Pharmacy Technician

Physical Therapist

Answer and Explanation

Correct Answer : A,B,C,H

A.   A case manager can coordinate the overall care plan, ensuring the client receives appropriate services and support during recovery and discharge planning.
B.   An occupational therapist can help the client regain the ability to perform activities of daily living (ADLs) and improve fine motor skills affected by the stroke.
C.   A speech therapist can assist the client with speech and language difficulties, as well as swallowing issues that may have resulted from the stroke.
D.   A respiratory therapist is typically involved if there are respiratory issues, which are not indicated in this case.
E.   A chief nursing officer provides leadership and oversight roles, and not direct patient care.
F.   A medical assistant is typically involved in basic clinical tasks but not in specialized stroke recovery.
G.   A pharmacy technician fills prescriptions but doesn’t directly participate in client rehabilitation.
H.   A physical therapist can help the client improve strength, balance, and mobility, which are often impaired after a

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Obtaining a focused history to determine recent bleeding and use of anticoagulants is crucial to evaluate the risk of hemorrhage and guide treatment decisions, especially considering the symptoms suggest a possible stroke.
B. Initiating sequential pneumatic compression devices is not relevant to the immediate neurological symptoms.
C. Administering aspirin is contraindicated without confirming whether the stroke is ischemic or hemorrhagic.
D. Placing an indwelling urinary catheter is not an immediate priority compared to assessing the stroke symptoms.

Correct Answer is ["1.4"]

Explanation

To calculate the dosage of lorazepam for the client, first determine the total micrograms required by multiplying the client's weight in kilograms by the prescribed amount per kilogram. For a client weighing 65 kg prescribed 44 mcg/kg, the total dosage would be 65 kg x 44 mcg/kg, which equals 2860 mcg. Since the medication is available in a concentration of 2 mg/ml, convert the total dosage from micrograms to milligrams by dividing by 1000 (because there are 1000 micrograms in a milligram). This results in 2.86 mg. Finally, to find out how many milliliters to administer, divide the total milligrams needed by the concentration of the vial, which is 2 mg/ml. Therefore, 2.86 mg / 2 mg/ml equals 1.43 ml. When rounding to the nearest tenth, the nurse should administer 1.4 ml of lorazepam.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is ["1.4"]

Explanation

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