*NURSING > ATI MEDICAL SURGICAL > ATI Proctored Exam Medical Surgical Form A (All)

ATI Proctored Exam Medical Surgical Form A

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1.A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action? -Start the therapy within 8 hrs. (within 6 h... rs.) -Insert an indwelling urinary catheter after therapy begins -Monitor blood pressure every 30 minutes during infusion. -Elevate the head of the bed between 25 and 30 degrees (to reduce ICP & promote venous drainage, ATI page 89) 2.A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? -Place hands on the upper abdomen during inhalation. -Exhale slowly through pursed lips. -Hold breath about 3 to 5 seconds before exhaling. (ATI page 138) -Position the mouthpiece 2.5 cm (1 in) from the mouth. [Show More]

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