Remerciez-le!

Remerciez @Admin pour avoir partagé cet document gratuitement, de la manière la plus simple, en partageant sur les réseaux sociaux.

Study guide 7 Regular oral hygiene is an essential intervention for the client who has had a stroke Which of the following nursing measures is inappropriate when providing oral hygiene Placing the client on the back with a small pillow under the head Keep

Regular oral hygiene is an essential intervention for the client who has had a stroke Which of the following nursing measures is inappropriate when providing oral hygiene Placing the client on the back with a small pillow under the head Keeping portable suctioning equipment at the bedside Opening the client ? s mouth with a padded tongue blade Cleaning the client ? s mouth and teeth with a toothbrush A -year-old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech Which nursing intervention is a priority Prepare to administer recombinant tissue plasminogen activator rt-PA Discuss the precipitating factors that caused the symptoms Schedule for A STAT computer tomography CT scan of the head Notify the speech pathologist for an emergency consult A client arrives in the emergency department with an ischemic stroke and receives tissue plasminogen activator t-PA administration Which is the priority nursing assessment Current medications Complete physical and history Time of onset of current stroke Upcoming surgical procedures During the ?rst hours after thrombolytic therapy for ischemic stroke the primary goal is to control the client ? s Pulse Respirations C Blood pressure Temperature What is a priority nursing assessment in the ?rst hours after admission of the client with a thrombotic stroke Cholesterol level Pupil size and pupillary response Bowel sounds Echocardiogram What is the expected outcome of thrombolytic drug therapy Increased vascular permeability Vasoconstriction Dissolved emboli Prevention of hemorrhage The client diagnosed with atrial ?brillation has experienced a transient ischemic attack TIA Which medication would the nurse anticipate being ordered for the client on discharge An oral anticoagulant medication A beta-blocker medication An anti-hyperuricemic medication A thrombolytic medication Which client would the nurse identify as being most at risk for experiencing a CVA A -year-old African American male An -year-old Japanese female C A -year-old Caucasian male A -year-old pregnant female Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke A blood glucose level of mg dl A right-sided carotid bruit A blood pressure of mmHg The presence of bronchogenic carcinoma The nurse and unlicensed assistive personnel UAP are caring for a client with right-sided paralysis Which action by the UAP requires the nurse to intervene The assistant places a gait belt around the client ? s waist prior to ambulating The assistant places the client on the back with the client ? s head to the side The assistant places her hand under the client ? s right axilla to help him her move up in bed The assistant praises the client for attempting to perform ADL ? s independently Answers and Rationale Answer Placing the client on the back with a small pillow under the head A helpless client should be positioned on the side not on the back This lateral positionhelps secretions escape from the throat and mouth minimizing the risk of aspiration C Option B It may be necessary to suction so having