A client with aphasia presents to the emergency room with a suspected brain attack. What assessment data would lead the nurse to suspect this client has had a thrombotic stroke?
A. Two episodes of speech difficulties in the last month
B. A sudden loss of motor coordination
C. Recent seizure activity
D. Nuchal rigidity
A
A thrombotic stroke is characterized by a gradual onset of symptoms that are often preceded by transient ischemic attacks causing a focal neurologic dysfunction.
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A client is 4 months pregnant and confides in the nurse that her husband has a history of genital herpes although she has never "caught" the infection from him. The nurse's response should be based on the fact that
a. the virus can be shed without symptoms b. the client will have to have a cesarean section c. prophylactic antibiotics will be necessary to prevent the spread d. absence of symptoms is reassuring that the infection has not been transmitted
Which instruction should be included in the discharge teaching plan to assist the client in recognizing early signs of complications?
a. Palpate the fundus daily to ensure that it is soft. b. Report any decrease in the amount of brownish red lochia. c. The passage of clots as large as an orange can be expected. d. Notify the health care provider of any increase in the amount of lochia or a return to bright red bleeding.
How many approximate calories of dextrose are contained in 1 L of a D5W solution?
What will be an ideal response?
Mr. Green is receiving oxygen by nasal catheter. It is important that he does not
a. get turned from his right to his left side b. use his electric razor c. receive fluids orally d. have cotton blankets placed on his bed