Question 1

Which of the following information must be obtained before administering alteplase?

Accepted Answer

All of the Above

Answer

Surgical history

Answer

Time symptoms started

Answer

Non contrast head CT results

Answer

Current Medications

Question 2

A patient received alteplase for a left middle cerebral artery ischemic stroke. What should be included in the post-alteplase care of this patient?

Accepted Answer

Vital signs every 15 minutes during alteplase infusion, every 15 minutes for 2 hours, every 30 minutes for 6 hours, hourly for 16 hours

Answer

Vital signs and neuro assessments every 15 minutes x8, every 30 minutes x12, every hour x 16

Answer

Neuro assessment every 15 minutes x 8, every 30 minutes x 12, and every hour x 16

Answer

Vital signs and neuro assessment every 30 minutes until symptoms resolve

Question 3

What imaging must be completed before administering alteplase?

Accepted Answer

Noncontrast head CT

Answer

CT perfusion

Answer

CT Angiogram

Answer

MRI of the brain

Question 4

Mandy is experiencing a possible stroke. Emergency Medical Services (EMS) are assessing her using the Cincinnati Prehospital Stroke Score (CPSS). It includes all of the following except:

Accepted Answer

<P>Eye droop</P>

Answer

Speech difficulty

Answer

<P>Arm drift</P>

Answer

Facial droop

Question 5

What is the "Door to Needle" or "Door to Drug" guideline for treatment of an ischemic stroke?

Accepted Answer

< 60 minutes

Answer

< 25 minutes

Answer

< 35 minutes

Answer

< 45 minutes

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