Which nursing diagnosis is considered a priority for a client who experienced a stroke 24 hours ago?
A. Disturbed Sensory Perception
B. Ineffective Tissue Perfusion
C. Impaired Physical Mobility
D. Impaired Swallowing
B
Clients who have experienced a stroke are most at risk of increased intracranial pressure (ICP) within the first 72 hours of onset. Edema from the increased ICP can further impair cerebral tis-sue perfusion that is already compromised by the stroke.
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A student reviewing the anatomy and physiology of fetal circulation learns that fetal blood enters the aorta through which structure?
A. Ductus arteriosus B. Ductus venosus C. Foramen ovale D. Portal circulation
The outcome that should be established for an elderly patient with delirium caused by fever and dehydration is that the patient will:
a. return to a premorbid level of functioning. b. demonstrate motor responses to noxious stimuli. c. identify stressors negatively affecting self. d. exert control over responses to perceptual distortions.
Which of the following hormones are derivatives of cholesterol?
A) Epinephrine and norepinephrine B) Insulin and glucagon C) Aldosterone and testosterone D) Eicosanoids and retinoids
The nurse is caring for a patient with severe, chronic headaches. According to a recent medical work-up, there "is no definitive physiological reason for these headaches."
The nurse counsels the patient about alternative therapies for headaches, knowing that: a. Homeopathic medications eliminate migraine and other chronic headaches b. Acupuncture is more effective than medication in relieving chronic headaches c. Western medicine has no alternative treatment for severe, chronic headaches d. There is no palliative care for chronic headaches without physiological basis