A patient being treated for a cardiac dysrhythmia is demonstrating signs of an ischemic stroke

What assessment findings alerted the nurse to the development of this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Garbled speech
2. Inability to see out of the right eye
3. Complaint of a sudden severe headache
4. New onset of left arm and leg weakness
5. Sudden onset of pain and swelling in one lower extremity limb


1,2,3,4
Rationale 1: Difficulty understanding speech or speaking is symptom of an ischemic stroke.
Rationale 2: The inability to see out of one eye is a symptom of an ischemic stroke.
Rationale 3: A new onset of a sudden severe headache is a symptom of an ischemic stroke.
Rationale 4: The onset of weakness on one side of the body is a symptom of an ischemic stroke.
Rationale 5: The sudden onset of pain and swelling in one lower extremity limb is not a symptom of ischemic stroke but rather a venous thromboembolism.

Nursing

You might also like to view...

Which of the following assessment findings may indicate right-sided heart failure?

A) Pulmonary edema B) Distended neck veins C) Dry cough D) Orthopnea

Nursing

You are working in the ICU and have just been notified that you are receiving a patient from the Obstetrics unit who is in hypovolemic shock due to massive blood loss during delivery

You know that the best choice for fluid replacement for this patient is what? A) 5% Albumin because it is inexpensive and is always readily available B) Dextran because it increases intravascular volume and counteracts coagulopathy C) Whatever fluid that is most readily available in the ICU, due to the nature of the emergency D) Lactated Ringer's solution because it increases volume, buffers acidosis, and is the best choice for patients with liver failure

Nursing

You say to your adolescent client, "Let me review the steps for coughing and deep-breathing exercises." This is an example of which type of therapeutic communication technique?

1. presenting reality 2. summarizing 3. restating 4. focusing

Nursing

While caring for the client, the nurse hears a coworker telling a client to "get out of bed immediately and get dressed or there will be no breakfast today." This statement is an example of:

A) libel. B) abuse. C) slander. D) battery.

Nursing