Practice Question
An older adult client is admitted with right-sided hemiparesis, slurred speech, and confusion, and is diagnosed with a stroke. The client has a history of hypertension and atrial fibrillation, and currently takes warfarin. Vital signs are: BP 185/60 mmHg, P 120 beats/minute, and R 18 breaths/minute. An electrocardiogram (ECG) shows atrial fibrillation with rapid ventricular response. Which health care provider order does the nurse expect? (Select all that apply.)
Answer Choices:
Correct Answer:
Administer a beta-blocker medication.
Rationale:
💠Administer a beta-blocker Atrial fibrillation with rapid ventricular response (HR 120) needs rate control.
💠 Beta-blockers reduce myocardial oxygen demand.
💠 Prevents worsening of stroke perfusion.
💠 Stabilizes hemodynamics for safe imaging/treatment.
💠 Standard first-line approach.
💠CT scan of the head Must determine ischemic vs hemorrhagic stroke immediately.
💠 Warfarin increases bleed risk → CT is urgent.
💠 Treatment (tPA, antiplatelets) depends on imaging findings.
💠 Prevents unsafe medication administration.
💠 First step in all acute stroke evaluations.
💠Obtain INR Client takes warfarin, requiring assessment of coagulation.
💠 High INR increases risk of intracranial hemorrhage.
💠 Determines if aspirin or heparin is safe to give.
💠 Guides reversal decisions if bleed is present.
💠 Critical stroke safety measure.
Incorrect Options (2 points each)
Administer aspirin Unsafe until CT confirms no bleeding.
💠 Warfarin increases hemorrhage risk.
Start heparin infusion
💠 A-fib stroke requires heparin ONLY after ruling out brain bleed.
💠 Warfarin + heparin = dangerous combo if bleed present.
Prepare for emergency cardioversion
💠 Cardioversion risks embolizing clots in uncontrolled A-fib.
💠 NEVER performed emergently during acute stroke
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This question is from ATI Custom LPN Pharm II NSG 2310 Exam 2 Fall 2025 which contains 84 questions.
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From Exam
ATI Custom LPN Pharm II NSG 2310 Exam 2 Fall 2025
84 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pharmacology
- Answer Choices: 6