A stroke is caused by
A) a blockage in the heart muscle.
B) neurological problems.
C) loss of blood flow to part of the brain.
D) inflammation, infection, and edema.
C
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A nurse caring for a nine-year-old notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation
Based on these physical findings, the nurse would be most concerned with assessing: 1. Skin integrity, especially in the lower extremities. 2. Level of consciousness. 3. Urine output. 4. Range of motion and ankle mobility.
He nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient:
a. Demonstrates the ability to hear normal conversation. b. Sticks out the tongue midline without tremors or deviation. c. Follows an object with his or her eyes without nystagmus or strabismus. d. Moves the head and shoulders against resistance with equal strength.
The nurse is caring for four patients on the short-stay unit. Which patient would cause the nurse greatest concern?
A) A 10-year-old patient with a BP of 103/62 B) A 7-year-old patient with a sinus dysrhythmia C) A 77-year-old patient with a resting heart rate of 69 beats/min D) An 82-year-old patient with a temperature of 37.2°C
The nurse is teaching a caregiver to select activities that will develop hand-eye-mouth coordination in a preschooler. Which of the following activities would indicate that this caregiver had learned to select well?
a. bubbles and stickers c. swimming b. horseback riding d. hide-and-seek