The nurse assesses a client prealteplase. Whats an

ATI LPN

ATI LPN Test Bank

The nurse assesses a client pre-alteplase. What’s an important assessment?

A. Eats green leafy vegetables B. History of diabetes insipidus C. History of renal disease D. Medications for pain

Correct Answer: C

Rationale: Renal disease (C) affects drug clearance, critical for tPA safety.

Interventions to prevent unilateral neglect in right-sided hemiplegia include?

A. Dress affected side first B. Wear high-top sneakers C. Approach from affected side D. Attach footboard

Correct Answer: A

Rationale: Dressing affected side first (A) encourages attention to neglected side.

The nurse’s priority action for a client with stroke symptoms?

A. Heparin IV B. Ask about headaches C. 1000 mg aspirin D. Time since symptoms

Correct Answer: D

Rationale: Time of onset (D) determines tPA window.

Joint Commission stroke measures include? (SATA)

A. Discharge with antithrombotic B. All get anticoagulation C. Antithrombotic by stay end D.

Correct Answer: A

Rationale: Antithrombotic discharge (A) is a core measure.

Nurse finds woman collapsed with right weakness, slurred speech, unconscious. Action?

A. Carotid massage B. Notify EMS C. Test gag reflex D. Drive to facility

Correct Answer: B

Rationale: EMS (B) ensures rapid stroke care.

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