The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). Family members ask the nurse why their father had a seizure. Which response is best for the nurse to make?
a. "The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain."
b. "The stroke generated a toxin that excites the brain cells."
c. "The stroke causes an alteration in the cells adjacent to the blood clot."
d. "The stroke causes an increase in the de-polarization of the brain cells due to the clot formation."
A
Thrombi from a CVA can occlude vessels, cutting off oxygen supply to cells of the brain and causing a seizure.
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The admitting note describes a patient with depression as having anergia and anhedonia. The nurse should plan measures to: (Select all that apply.)
a. channel excessive energy. b. reduce guilty ruminations. c. counter psychomotor retardation. d. instill a sense of hopefulness. e. reduce stimulation. f. promote physical activity.
A pregnant client reports the desire to eat non-food items. For which health problem should the nurse prepare teaching for this client?
a. Pica b. Geophagia c. Pagophagia d. Amylophagia
A toddler with diarrhea has been prescribed IV therapy. The nurse uses an infusion pump for the therapy. Which of the following is most important to consider during this therapy?
A) Check infusion pump for warning of IV infiltration. B) Administer IV to the vein in the forearm. C) Ensure that the catheter is in the vein. D) Ask the family to prevent the child from pulling on the tube.
When using critical thinking, nurses need to incorporate their cognitive skills and:
A. integrity. B. attitude. C. reflection. D. assessment.