The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

Urine output

Vital signs

Name of the patient's dog

Neurological status

Answer and Explanation

The Correct Answer is D

Choice A reason: Urine output is important but not the priority after administration of fibrinolytic medication.

Choice B reason: Vital signs are routinely monitored but the priority is assessing for any signs of complications from the medication, such as bleeding or stroke.

Choice C reason: The name of the patient's dog is irrelevant to the patient's medical care and assessment.

Choice D reason: Neurological status is the priority to monitor for signs of intracranial hemorrhage, a potential complication of fibrinolytic therapy.

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Correct Answer is B

Explanation

Choice A reason: Instructing the client to cut back to one or two drinks per day may not be eﬀective for someone with cirrhosis, as any amount of alcohol can be harmful.

Choice B reason: Educating the client about the disease and the specific risks associated with alcohol consumption can provide the motivation needed to make a change.

Choice C reason: Introducing the client to other people who do not drink alcohol could provide social support, but it is not the primary step in motivating change.

Choice D reason: Telling the client that their liver has been destroyed by alcohol might be factual, but it is not a constructive approach to motivate change.

A. Screening for metastasis will be important. B. Minimizing sun exposure reduces the risk for future BCC. C. The treatment plan includes watchful waiting. D. Low-dose systemic chemotherapy is used to treat BCC.

Correct Answer is B

Explanation

Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.

Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.

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The nurse receives a patient from the emergency department following administration of a fibrinolytic medication, TPA, for a large anterior wall myocardial infarction. The priority assessment for this patient would be which of the following?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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