A nursing student is writing a care plan for a newly admitted patient who has been diagnosed with a stroke. What major nursing diagnosis should most likely be included in the patient's plan of care?

A) Adult failure to thrive
B) Post-trauma syndrome
C) Hyperthermia
D) Disturbed sensory perception


Ans: D
Feedback:
The patient who has experienced a stroke is at a high risk for disturbed sensory perception. Stroke is associated with multiple other nursing diagnoses, but hyperthermia, adult failure to thrive, and post-trauma syndrome are not among these.

Nursing

You might also like to view...

Adequate hydration is a key to optimizing the health of many body systems, including

a. Genitourinary b. Gastrointestinal c. Respiratory d. All of the above

Nursing

Which is the main action of benzodiazepines?

a. They slow REM sleep. b. They depress the CNS. c. They prolong the use of sleeping aids. d. They prevent "hangovers."

Nursing

A client with cancer is secreting excessive amounts of antidiuretic hormone. The nurse will monitor the client for which consequence of excess antidiuretic hormone secretion?

1. Fluid volume excess 2. Hyperkalemia 3. Hypernatremia 4. Dehydration

Nursing

When adopting the electronic healthcare record (EHR), which of the following would be considered the ultimate goal?

A) Sharing of information B) Patient as the most important focus C) Cost-effectiveness D) Improved time management

Nursing