The nurse is assessing a patient with a suspected stroke. What assessment finding is most suggestive of a stroke?
A) Facial droop
B) Dysrhythmias
C) Periorbital edema
D) Projectile vomiting
Ans: A
Feedback:
Facial drooping or asymmetry is a classic abnormal finding on a physical assessment that may be associated with a stroke. Facial edema is not suggestive of a stroke and patients less commonly experience dysrhythmias or vomiting.
You might also like to view...
While making a home visit, the nurse determines that the quality of a patient's indoor air environment needs to be improved. What should the nurse instruct the patient? (Select all that apply.)
A) Damp dust furniture B) Keep windows closed C) Avoid smoking inside the home D) Vacuum the floor coverings regularly E) Install air filters in heating and air conditioning units
The nurse interviewing a college student who believes he has been exposed to gonorrhea tells him that the incubation period for gonorrhea is usually ______ after exposure
a. 2 to 6 days b. 1 week c. 2 weeks d. 4 weeks
The nurse instructs the older client to have a sitz bath twice daily at home after discharge. Which does the nurse include in client teaching?
1. Warm the sitz bath solution to slightly hot. 2. Replace sitz bath with a warm moist towel. 3. Ask for help before getting up after sitz bath. 4. Limit the duration of the sitz bath to 5 minutes.
An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This prescribed treatment is an example of which type of care?
a. Antenatal diagnostics b. Primary prevention c. Secondary prevention d. Collaborative intervention