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Questions and Answers
Question 1: What is the priority nursing intervention upon admission for this patient?
Question 1: What is the priority nursing intervention upon admission for this patient?
- Administer alteplase (tPA) immediately
- Elevate the head of the bed to 90 degrees
- Monitor neurological status frequently (correct)
- Start oral anticoagulation therapy
Question 2: Which assessment finding requires immediate action for a patient suspected of having an ischemic stroke?
Question 2: Which assessment finding requires immediate action for a patient suspected of having an ischemic stroke?
- Unilateral facial drooping (correct)
- Decreased urine output
- Elevated blood pressure
- Mild headache
Question 3: What is the most likely cause of the patient's sudden-onset right-sided weakness, slurred speech, and facial drooping?
Question 3: What is the most likely cause of the patient's sudden-onset right-sided weakness, slurred speech, and facial drooping?
- Diabetes
- Ischemic stroke (correct)
- Hypertension
- CT scan
Question 4: Which comorbidities does the patient have?
Question 4: Which comorbidities does the patient have?
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Question 5: What does the CT scan reveal about the patient's stroke?
Question 5: What does the CT scan reveal about the patient's stroke?
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