A client with aphasia presents to the emergency department with a suspected brain attack. Which clinical manifestation leads the nurse to suspect that this client has had a thrombotic stroke?
a. Two episodes of speech difficulties in the last month
b. Sudden loss of motor coordination
c. A grand mal seizure 2 months ago
d. Chest pain and nuchal rigidity
A
Thrombotic stroke is characterized by a gradual onset of symptoms that often are preceded by transient ischemic attacks (TIAs), causing a focal neurologic dysfunction. Two episodes of speech difficulties would correlate with TIAs. The other manifestations are not related to a thrombotic stroke.
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The physician has ordered 1/4 strength Isocal. The total volume is 100 mL. How many milliliters of water needs to mixed with the Isocal?
A) 25 B) 50 C) 75 D) 100
Which statement made by the client indicates the need for further teaching?
1. "Vitamin supplements can be a substitute for a balanced diet." 2. "Too much vitamin A or D is not good for me." 3. "Although the label on a vitamin supplement might indicate that it contains 100% of the RDA for a particular vitamin, the body might only absorb a little of the vitamin." 4. "It is not harmful for most patients to consume 2–3 times the recommended levels of most vitamins."
All day surgery patients follow the same patient pathway of pre-assessment, perioperative care and discharge
a. For safety reasons all patients must follow the same pathway. b. Patients can choose which of the components they wish to follow. c. In an ideal world all components should be met, but there are exceptions.
Which comment by a mother during a family therapy session shows evidence of scapegoating?
a. "Our youngest child always starts arguments and upsets everyone else." b. "We all express our feelings openly except when we think it might upset my husband." c. "Our oldest child knows that my husband and I are doing all we can for the others." d. "After my husband has been drinking, I have to get everyone up and ready for school."