The nurse is developing a class on stroke prevention for a local senior citizens center. What would be an important focus when teaching stroke prevention directed at modifia-ble risk factors?

a. Smoking cessation
b. Blood glucose control
c. Annual physical examination
d. Annual influenza immunization


ANS: A
Smoking cessation and tight control of blood pressure are the most important strategies when addressing modifiable risk factors. Blood glucose control is indirectly related to strokes; however, smoking cessation is directly related. An annual physical examination is a good health guideline, but it is not as directly related to stroke prevention as smoking cessation. Annual influenza immunization is important in older adults, but it is not part of stroke prevention.

Nursing

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The daughter of an older patient tells the nurse that the patient used to be a wonderful cook but now cannot remember how to use a blender. What does this information indicate to the nurse?

1. Short-term memory loss 2. Long-term memory loss 3. Normal cognitive change in an older person 4. Cognitive change that requires further assessment

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Which factor significantly contributed to the shift from home births to hospital births in the early 20th century?

a. Puerperal sepsis was identified as a risk factor in labor and delivery. b. Forceps were developed to facilitate difficult births. c. The importance of early parental-infant contact was identified. d. Technologic developments became available to physicians.

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A patient tells the nurse that he has been having trouble sleeping and it has gotten worse over the last several weeks. The nurse realizes sleep deprivation is most closely associated with which of the following behavioral responses?

1. Anxiety 2. Frustration 3. Anger 4. Loss

Nursing

Chemical messengers that enhance cell growth, promote cell activation, and direct all traffic are called

A) Kupffer's cells. B) B lymphocytes. C) cytokines. D) T lymphocytes.

Nursing