On Initial Assessment of a Patient Hospitalized Following a Stroke

question 18

Multiple Choice

On initial assessment of a patient hospitalized following a stroke, the nurse finds the patient's blood pressure to be 180/90 mm Hg. Which of the following orders by the health care provider should the nurse question?

• A) Infuse normal saline at 75 ml/hr.
• B) Keep head of bed elevated at least 30 degrees.
• C) Administer tissue plasminogen activator (tPA) per protocol.
• D) Titrate labetolol (Normodyne) drip to keep BP less than 140/90 mm Hg.

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Definitions:

Marital Sexuality

The expression, experience, and dynamics of sexual relationships within the context of marriage.

Erotic Behavior

Actions or practices that evoke or express sexual desire and excitement.

Divorced Individuals

Persons who have legally dissolved their marriage and are no longer married to their spouse.