A client with acute ischemic stroke is ordered alteplase, weighs 224.4 lbs. How many mg will the nurse prepare?

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Question 1 of 5

A client with acute ischemic stroke is ordered alteplase, weighs 224.4 lbs. How many mg will the nurse prepare?

Correct Answer: B

Rationale: 0.9 mg/kg, max 90 mg (text note). 224.4 lbs = 101.8 kg, 91.8 mg exceeds max, so 90 mg (B).

Question 2 of 5

A nurse teaches a client with unilateral neglect post-ischemic stroke. What action helps?

Correct Answer: C

Rationale: Turning head (C) compensates for neglect by scanning affected side.

Question 3 of 5

Which is a major risk factor for embolic stroke?

Correct Answer: D

Rationale: AF (D) increases emboli risk, a key stroke cause.

Question 4 of 5

A client (160.6 lbs) with ischemic stroke gets alteplase. Bolus mL/hr?

Correct Answer: C

Rationale: 0.9 mg/kg, 10% bolus. 72.9 kg × 0.09 = 6.57 mg. 0.657 mL/min = 39.42 mL/hr, closest to 65.7 (C).

Question 5 of 5

Norepinephrine infusion: 4 mg in 1000 mL D5NS, 2 mcg/min. Rate in mL/hr?

Correct Answer: B

Rationale: 4 mg = 4000 mcg/1000 mL = 4 mcg/mL. 2 mcg/min = 120 mcg/hr. 120 / 4 = 30 mL/hr (B).

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