A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent. What should this nurse determine when assessing this patient?
a. Stroke in evolution with dysarthria
b. Lacunar stroke with fluent aphasia
c. Complete stroke with global aphasia
d. Stroke in evolution with dyspraxia
A
As symptoms worsen, the CVA is still evolving. Speech that is coherent but difficult is dysarthria rather than any type of aphasia. Dyspraxia is a motor impairment, not a speech impairment.
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When preparing to apply a dry dressing, the first step that the nurse should take is to:
A. Cleanse the wound B. Prepare the sterile field C. Palpate the wound edges D. Assess the wound integrity