RN Medical Surgical HESI Proctored Exam
A 70-year-old female presents to the emergency department through triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client's husband noticed his wife's speech became difficult to understand. Flow sheets 1915 Arrival at emergency department 1920 Vital Signs: - Temperature: 98.2° F (36.8° C) - Heart rate: 92 beats/minute - Respirations: 24 breaths/minute - Blood pressure: 210/98 mmHg - Oxygen saturation: 95% on room air Imaging studies 1935 Head CT scan results: - No evidence of intracranial hemorrhage - No evidence of acute disease Orders - Obtain CT scan of the head. - Insert a large bore peripheral IV. - Start normal saline infusion at 50 mL/hour. The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion. The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration. The client was noted to be stable with unchanged neurologic assessments. The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery. Select the interdisciplinary team members who should assist the client in recovery.
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