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A CVA, cerebrovascular accident, is brain damage that occurs when blood flow to the brain is disrupted.  This can be caused by a blockage or because of a ruptured blood vessel.  What is another term for CVA?

The provider orders an IV administration of tPA (Alteplase) for stroke patient. The patient weighs 187 pounds.   Order:  0.9mg/kg not to exceed 90mg. Bolus:  Administer 10% of total dose over 1 minute. Infuse remaining dose over 60 minutes. The pharmacist provides a vial containing Alteplase 100mg in 100mL for infusion.   Use numerical values to answer questions, do not write out values (i.e.: use 2, not two). Round each answer to the nearest 10th if needed.    A)  What is the total dose in mg of tPA the patient should receive? [answer1] B)  What is the bolus dose in mg of tPA that will be administered? [answer2] C)  At what rate in mL/hr will the nurse set the infusion pump to administer the remaining tPA dose over the prescribed time frame? [answer3]

The patient asks the nurse, “How did they determine I have Cushing Syndrome? I cannot recall how the diagnosis was made.” Which statement will the nurse include in the response? 

What can lead to the formation of kidney stones in the urinary tract? 

Use the following information to answer questions #33-#35 The nurse cares for a patient following a right total knee arthroscopy due to osteoarthritis. The patient arrives on the orthopedic unit. The nurse performs an initial assessment, initiates provider orders, and develops a plan of care. 

What happens when there’s insufficient insulin in the body? 

Match the disease/disorder with the correct definition/description. 

A patient diagnosed with Guillain Barre Syndrome (GBS) arrives on the medical unit. As the nurse prepares to care for the patient, which action represents the nurse’s highest priority?  

How can stimulating games contribute to cognitive function in people over 50 years of age? 

The nurse cares for a patient who fractured their femur yesterday. The patient alerts the nurse of an acute onset of chest pain. On assessment, the patient is restless and has pinpoint red spots on the upper chest and axilla. Vital signs are: Oral temperature 100.2 F. Heart rate 126 beats per minute. Respiratory rate 30 breaths per minute and deep. SpO2 87% on room air. Blood pressure 90/58 mm Hg. What is the most likely cause of the clinical manifestations?