symptoms
Eric Thomas, a 75-year-old patient returns to
the health clinic for a follow-up appointment after
being discharged from the rehabilitation facility
post stroke. Mr. Campbell has a history of
hypertension, coronary heart disease, and
hyperlipidemia (elevated cholesterol). The nurse
provides education on lowering Mr. Campbell
risk of developing a recurring stroke.
Vital Signs: BP 146/89 HR 86, RR 20, Temp 98.6
Based on
Based on the Mr. Thomas' vital
signs, what should the nurse include in
the education? (more than 1 answer)
What are Reduce saturated fats in the diet
What are Reduce the sodium in the diet
What is take blood pressure medication
as prescribed
A client arrived in the emergency department and is suspected of having a stroke. Thespouse stated that the symptoms started 2 hours ago. The patient was diagnosed withischemic stroke. Which of the following medications would be appropriate for this client atthis time?
What is Tissue plasminogen activator (tPA)
Health promotion efforts to decrease the risk for ischemic stroke involve encouraging ahealthy lifestyle including a:
What is Low-fat, low-cholesterol diet and increased exercise
A nurse is caring for a client on a stroke rehabilitation unit. The client's family asks why theclient has to do so much for herself when she is obviously struggling. What would be thenurse's best answer?
What is The focus of care in a rehabilitation facility is to help the client to resume as much self-care as possible.
A patient is exhibiting classic signs of a hemorrhagic stroke. What complaint from the patientwould be an indicator of this type of stroke?
What is Severe headache
Mr. Thomas has aphasia after having
a stroke. Which action should the
nurse take when communicating
What is
Face the client and establish eye
contact
A client presents with symptoms of a stroke, which diagnostic evaluation should becompleted prior to initiation of treatment?
Brain CT scan or MRI
A nurse is teaching a community class that those experiencing symptoms of ischemic stroke need to seek emergent care. The primary reason for this is which of the following?
What Thrombolytic therapy has a time window of only 3- 4.5 hours
A nurse is planning care for a client recovering from a recent stroke who has residual right-sided weakness. Which intervention is most appropriate to promote independence in self-care at home?
What is Encourage the client to use adaptive devices and assistive techniques during activitiesof daily living.
The nurse is preparing discharge education for a client with hypertension recovering from ahemorrhagic stroke. Which of the following instructions should the nurse include to helpprevent another stroke? (Select all that apply.)
What are Drowsiness is normal for the first week after discharge.
Take antihypertensive medication exactly as prescribed every day.
A nurse is providing education to Mr.Thomas regarding modifiable riskfactors for stroke. When explaining therisk factors, which of the following riskfactors are modifiable?
What is Hypertension and elevated cholesterol
a 68-year-old patient with a history of atrial fibrillation, has been prescribed warfarin forlong-term stroke prevention. The nurse is providing education and ongoing monitoring forthis patient in an outpatient clinic. Which of the following interventions are appropriate for thenurse to include in chronic care management while the patient is on warfarin?
What are
Teach the patient to monitor for signs of unusual bleeding or bruising
Instruct the patient to maintain consistent intake of vitamin Krich foods
Assess the patients INR regularly to ensure therapeutic levels
A nurse is planning discharge teaching for an older adult client with mild short-term memoryloss. The discharge teaching will include how to perform basic wound care for the venousulcer on the client's lower leg. When planning the necessary health education for this client,the nurse should:
What is keep teaching periods short
A nurse is planning care at home for a client recovering from a stroke with residual left-sidedweakness. Which of the following interventions are most appropriate to promote safety andindependence in the chronic care setting? (Select all that apply.)
Provide adaptive devices (grab bars, shower chair, raised toilet seat) in the bathroom.
Arrange the environment so frequently used items are within reach on the unaffectedside.
Collaborate with physical and occupational therapy to develop an individualized exerciseprogram.
A nurse is providing education for a client with iron deficiency anemia who has beenprescribed iron supplements. What should the nurse include in health education?
What is Iron will cause the stools to darken in color.
Mr. Thomas complains of having a difficult time swallowing. Which of the following terms describes this condition?
What is Dysphagia
A client is diagnosed with Alzheimer's disease. The nurse should anticipate administeringwhich medication?
What is Donepezil (Aricept)
An older adult client has been diagnosed with early-stage Alzheimer's disease and hasbegun treatment with Aricept, cholinesterase inhibitor. When providing health education tothe client and the client's spouse, the nurse should identify what goal of treatment?
What is Improvement of cognition and function
The nurse is caring for a client receiving cognitive enhancers for Alzheimer's disease. Whichof the following should be included in the education for the client?
Do not stop abruptly
A client with chronic kidney disease has decreased erythropoietin production. Upon analysisof the client's complete blood count, the nurse will expect which of the following results?
What is Decreased hemoglobin and hematocrit
A client who has experienced an initial transient ischemic attack (TIA) states: "I'm glad itwasn't anything serious." Which is the best nursing response to this statement?
What is TIA is a warning sign. Lets talk about lowering your risks.
A geriatric nurse practitioner is assessing an older adult client with dementia. The nurse knows that older adults sometimes have difficulty following directions during a neurologic examination or diagnostic procedure. What strategies can the nurse use to examine older clients?
What is Provide brief instructions, one step at a time
a 72-year-old patient, has been experiencing increasing forgetfulness, difficultymanaging finances, and trouble performing daily activities. His family reports that thesechanges have been gradual over the past year. Which of the following conditions is mostconsistent with a decline in intellectual functioning?
Dementia
A family of a patient with Alzheimer's disease asks the nurse what causes this condition?Which response by the nurse would be most appropriate?
What is Evidence shows that there are changes in nerve cells and brain chemicals.
An adult client has been diagnosed with iron-deficiency anemia. What nursing diagnosis ismost likely to apply to this client's health status?
What is Fatigue related to decreased oxygen-carrying capacity