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chapter 43 book
exam 7 alterations
Question | Answer |
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A nurse on a medical–surgical nursing unit is caring for four different patients. Which of the following patients in the nurse’s assignment is at greatest risk for developing a stroke? | A 53-year-old African-American woman admitted with hypertension |
The nurse is caring for a patient admitted who has experienced a motor vehicle accident (MVA). Which of the following symptoms would be consistent with a diagnosis of cervical injury? | Paralysis or weakness of extremities, a pulse rate of 45 beats per minute, and nasal flaring |
Which of the following statements by the new nurse indicates a good understanding of communication disorders? | Dysarthria is any disturbance in muscular control of speech. |
The patient exhibits rapid and worsening symptoms, beginning with a headache and vomiting and rapidly progressing to seizures, hemiplegia, and loss of consciousness. Which of the following interventions is most important for this patient? | Suction as necessary. |
The health care provider ordered dietary intake re-instituted for a patient who has recently suffered a stroke. What are the responsibilities of the nurse regarding the feeding process for the patient? | Assess the patient’s gag and swallow reflex during the feeding. |
After experiencing a brief episode of numbness in the facial region and left side of the body that subsided within 30 minutes, a patient reports to the Emergency Department at the insistence of family members.what should RN do | Determination of the specific characteristics of the episode |
"I am scared about having diabetes. My grandmother was also a diabetic, and she died after having a stroke. Is this going to happen to me?” What information should be included in the patient teaching? | “The risk of diabetes will increase your risk of experiencing a stroke.” “The better your blood glucose is controlled, the lower the risk of having a stroke.” “Diabetes causes damage to the vascular walls.” |