Ms. A is a 64-year-old woman, arrives at the emergency department (ED) with expressive aphasia, left facial droop, left-

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Ms. A is a 64-year-old woman, arrives at the emergency
department (ED) with expressive aphasia, left facial droop,
left-sided hemiparesis, and mild dysphagia. Her husband states that
when she awoke that morning at 0730, she stayed in bed, saying she
had a mild headache over the right temple and was feeling weak. He
went and got coffee, then thinking it was unusual for her to stay
in bed, went back to check on her. He found she was having trouble
saying words and had a left-sided facial droop. When he helped her
up from the bedside, he noticed weakness in her left hand and leg
and brought her to the ED. Her medical history includes atrial
fibrillation (Afib), hypertension (HTN), and hyperlipidemia. A
recent cardiac stress test was normal, and her blood pressure is
under good control. Ms. A is currently taking amiodarone,
amlodipine, aspirin, simvastatin, and lisinopril. The provider
suspects Ms. A is having a stroke.
10. What are your nursing responsibilities during the
administration of tPA?
A
B
C
D
11. What signs and symptoms would alert you to the possible
presence of an intracerebral hemorrhage as an adverse effect of tPA
infusion?
A
B
C
12. Why was Ms. A placed on clopidogrel post-CVA?
13. What is the importance of continuing simvastatin for Ms.
A?
14 Ms. A was referred to speech pathologist, physical therapist,
and occupational therapist. Which of the following problems or
issues post-stroke needs to be addressed by the following
healthcare team members:
A. social worker
B. speech pathologist
C. dietitian
D. physical therapist
E. occupational therapist