A 76 year-old patient is diagnosed with an ischemic stroke. The PMH consists of:  HTN and Diabetes. Per the wife,  “he suffered from a stroke 1 month ago.” Which of the following is an exclusion for tPA (tissue plasminogen activator) also called Ateplace (Activase)?          

A confused patient with liver failure is admitting to the medical floor. The following labs are seen in the patient’s chart: WBC 8,000 u/L, Hbg 10.5 g/dL, Hct 38%, PT 20 seconds, PTT 89 seconds, Ammonia 100 mcg/dL.  Which precautions should the nurse implement upon the patient’s arrival? (Select all that apply)

A patient with DKA (Diabetic Ketoacidosis) was admitted with blood sugar of 400 mg/dL.  The patient’s received an IV of NS and an insulin drip. Four hours later the glucose is 200 mg/dl.  Which IV fluids would the nurse anticipate to be ordered next?  

A patient with a spinal cord injury has episodes of hypertension with automatic dysreflexia. Which of the following medications may be used prn to treat the episode?  

A patient is scheduled for a CT of the brain with contrast. Which of the following medication must be held prior to and 48 hours after the procedure to prevent acute kidney injury (AKI)?

At the inferior aspect of this isolated lung root, Identify the vessel.  

Identify the muscle indicated by the white arrows.  

The most important older adult change to liver function is the capacity of the liver to metabolize medications. True or False?       

A patient is scheduled to have a liver biopsy. Post procedure the nurse will assist the patient in which of the following positions?

Identify the structure (at the tips of the red arrows) that courses over the root of the right lung and forms an impression on embalmed cadaveric right lungs.