(^260) Medical-Surgical Nursing Demystified
(a) Administer TPA since this is within 3 hours of the CVS.
(b) Assess if the husband had an ischemic or hemorrhagic CVS.
(c) Tell the husband to go home, get rest and to call the physician in the
morning if the symptoms continue.
(d) Admit the husband and place him on bed rest.
- A patient is admitted to your unit diagnosed with advanced ALS. Which is
the priority intervention?
(a) Provide six small meals high in protein and assist with feeding.
(b) Don’t involve the patient in decisions about his health care because he
does not have the mental status to respond.
(c) Develop a method of communication.
(d) Provide six normal meals high in protein and assist with feeding. - Your patient diagnosed with Guillain-Barré syndrome has a burning, tick-
ling feeling and asks what causes that feeling. What is the best response?
(a) The myelin cover of the nerve endings is absent.
(b) You are lying too long on the affected side.
(c) This is in response to your medication.
(d) This is secondary to dysphagia.