When Assessing a Patient with a Possible Stroke, the Nurse

question 6

Multiple Choice

When assessing a patient with a possible stroke, the nurse finds that the patient's aphasia started 3.5 hours previously and the blood pressure is 170/92 mm Hg. Which of these 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 labetalol ( Normodyne ) drip to keep BP less than 140/90 mm Hg.

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Definitions:

Weber's Law

A principle in psychology that states the smallest change in a stimulus that can be detected is a constant proportion of the original stimulus's intensity.

Lit Candles

Candles that have been ignited to produce light or fragrance, often used for ambiance or ceremonial purposes.

Illumination

The delivery of light to an area, making it visible or more brightly lit; also refers to understanding or enlightenment.

Weber Fraction

A measure in psychophysics that quantifies the perception of change in a given stimulus relative to its intensity.