Use the following scenario to answer questions #12 & #13. The nurse cares for a client diagnosed with an ischemic stroke.  The neurologist performs a comprehensive neuro exam and determines the candidate is eligible to receive tPA. The nurse reviews the healthcare provider’s orders and prepares to administer tPA. 

A client presents to the clinic to discuss risk factor modification to reduce their risk of stroke. Which is most important for the nurse to address with the client?

A client is diagnosed with a complete thoracic 2 (T2) spinal cord injury after sustaining a fall from a ladder.  Which collaborative intervention should be included in the client’s plan of care?  Select all that apply.

Use the formulas to answer this question: A client with a traumatic brain injury has a blood pressure of 144/75 mm Hg and an intracranial pressure (ICP) of 16 mm Hg.  The nurse calculates the cerebral perfusion pressure (CPP).  Which does the nurse understand to be true regarding the client’s CPP?

A client diagnosed with seizures is prescribed phenytoin (Dilantin) 300 mg orally to be administered now.   Using the label below, what is the total volume of suspension to be given?  If needed, round to the nearest 10th.    _____________________________ mL

The nurse cares for a client with an incomplete spinal cord injury caused by a cervical vertebral fracture.  The injury is stabilized by a halo fixation device.  Which statement by the client indicates a need for further teaching?

The healthcare provider prescribes mannitol (Osmitrol) IV to this client. Which parameter will the nurse monitor to determine if the medication has had the expected therapeutic effect?

A client diagnosed with seizures is prescribed phenytoin (Dilantin) 300 mg orally to be administered now.   Using the label below, what is the total volume of suspension to be given?  If needed, round to the nearest 10th.    _____________________________ mL

The nurse teaches a female client about prescribed antiepileptic drugs.  Which client statement indicates an understanding of the medications?

The nurse is suctioning an adult client through a tracheostomy tube. During the procedure, the nurse notes that the client’s oxygen saturation is 89%. What should the nurse do?