Nokea
You are providing care for a patient with an acute hemorrhagic stroke. The patient's husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response?
- A. Your wife was not admitted within the time frame that alteplase is usually given.
- B. This drug is used primarily for patients who experience an acute heart attack.
- C. Alteplase dissolves clots and may cause more bleeding into your wife's brain.
- D. Your wife had gallbladder surgery just 6 months ago and this prevents the use of alteplase.
Correct Answer: C
Rationale: Alteplase increases the risk of bleeding, making it contraindicated in hemorrhagic stroke.
You may also like to solve these questions
What should be included in the management of a patient with delirium?
- A. The use of restraints to protect the patient from injury
- B. The use of short-acting benzodiazepines to sedate the patient
- C. Identification and treatment of underlying causes when possible
- D. Administration of high doses of an antipsychotic drug such as haloperidol (Haldol)
Correct Answer: C
Rationale: Identifying and treating underlying causes is key in managing delirium.
Regarding the cutaneous nerve supply to arm and forearm
- A. C3/4 supply pectoral and upper shoulder
- B. Branches of the brachial plexus supply arm and forearm
- C. C4/5/6/T1 supply the majority of the arm
- D. ?
Correct Answer: B
Rationale: The brachial plexus, formed from C5-T1, supplies the cutaneous innervation of the arm and forearm. Specific branches include the median, ulnar, and radial nerves.
The limbic system includes the:
- A. amygdala, hypothalamus, hippocampus
- B. hypothalamus, medulla, hippocampus
- C. hippocampus, pons, thalamus
- D. cerebellum, pons, hypothalamus
Correct Answer: A
Rationale: The limbic system is a group of brain structures involved in emotion, memory, and motivation. It includes the amygdala, which processes fear and emotional responses; the hypothalamus, which regulates hormones and homeostasis; and the hippocampus, which is essential for forming and retrieving memories. These structures work together to integrate emotional and cognitive processes, playing a key role in behavior and survival.
The nurse is caring for a client with ICP. Why will the nurse position the client in bed with HOB elevated to 30 degrees?
- A. Makes it easier for the client to breathe
- B. Prevents the Valsalva maneuver
- C. Promotes venous drainage
- D. Reduces pain
Correct Answer: C
Rationale: Elevating the head of the bed to 30 degrees promotes venous drainage from the brain, reducing intracranial pressure (ICP). This position helps improve cerebral perfusion and prevents complications associated with increased ICP, such as brain herniation.
Cell bodies for the motor supply of the trigeminal nerve lie
- A. Hypothalamus
- B. Midbrain
- C. Posterior to cerebral aqueduct
- D. Cerebral cortex
Correct Answer: B
Rationale: The motor nucleus of the trigeminal nerve is located in the midbrain. It supplies muscles of mastication, such as the masseter and temporalis.