You are caring for a client admitted with a stroke. Imaging studies indicate an embolus partially obstructing the right carotid artery. What type of stroke do you know this client has?
A) Ischemic
B) Hemorrhagic
C) Right-sided
D) Left-sided
A
Feedback:
Ischemic strokes occur when a thrombus or embolus obstructs an artery carrying blood to the brain; about 80% of strokes are the ischemic variety. Options B, C, and D are incorrect.
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The nurse is administering parenteral nutrition via a central venous access device. Which outcome would best substantiate the nurse's assessment that this therapy is effective?
a. The patient gains 4 1/2 pounds in 1 week. b. The patient's blood glucose stays between 130 and 160. c. The patient states, "I'm feeling much stronger today.". d. The patient gains 6 pounds over 12 days.
The client tells the nurse, "I want to die.". Which is the best response by the nurse to facilitate therapeutic communication?
1. "Now why would you say a thing like that?" 2. "Tell me more about how you are feeling.". 3. "We need to tell the provider how you feel.". 4. "You have too much to live for to say that.".
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which instruction should the nurse include in the dietary teaching?
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A. Replace the ECG electrodes. B. Check the dialysis tubing for clot formation. C. Monitor for changes in orientation. D. Inspect the oral mucosa for dryness or cracking. E. Obtain a blood pressure and urine output hourly.