When assessing a patient with manifestations of a stroke, the nurse keeps in mind that embolic strokes most commonly occur in which artery?
A) Vertebral artery
B) Basilar artery
C) Middle cerebral artery
D) Posterior cerebral artery
C) Middle cerebral artery
Explanation: A) Emboli that pass through the carotid arteries commonly occlude the middle cerebral artery, which carries more than 80% of blood flow to the cerebral hemisphere. Emboli that travel to the vertebral or basilar arteries can lodge at the apex of the basilar artery or in the posterior cerebral arteries.
B) Emboli that pass through the carotid arteries commonly occlude the middle cerebral artery, which carries more than 80% of blood flow to the cerebral hemisphere. Emboli that travel to the vertebral or basilar arteries can lodge at the apex of the basilar artery or in the posterior cerebral arteries.
C) Emboli that pass through the carotid arteries commonly occlude the middle cerebral artery, which carries more than 80% of blood flow to the cerebral hemisphere. Emboli that travel to the vertebral or basilar arteries can lodge at the apex of the basilar artery or in the posterior cerebral arteries.
D) Emboli that pass through the carotid arteries commonly occlude the middle cerebral artery, which carries more than 80% of blood flow to the cerebral hemisphere. Emboli that travel to the vertebral or basilar arteries can lodge at the apex of the basilar artery or in the posterior cerebral arteries.
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A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder
The nurse understands that which vaccine should not be administered to this child? a. Diphtheria and tetanus toxoids and acel-lular pertussis (DTaP) vaccine b. Haemophilus influenzae type b (Hib) vac-cine c. Polio injection d. Varicella virus vaccine
A client who is 2 days post–femoral vein cannulation begins to have difficulty with outflow of blood during dialysis. For which complication does the nurse assess?
a. Hematoma at cannula insertion site b. Infection c. Oliguria d. Skin necrosis at cannula insertion site
Many of the clinical features of Down syndrome present challenges to caregivers. Based on these features, what intervention should be included in the child's care?
a. Delay feeding solid foods until the tongue thrust has stopped. b. Modify the diet as necessary to minimize the diarrhea that often occurs. c. Provide calories appropriate to the child's mental age. d. Use a cool-mist vaporizer to keep the mucous membranes moist and secretions liquefied.
A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. What is the nurse's best first action?
a. Take the patient's vital signs. b. Position the patient in the semi-Fowler's position. c. Begin oxygen by nasal cannula at 2 L/min. d. Place the patient on one-to-one supervision.