An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions.
When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical
manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack
(stroke)?
A. A carotid bruit
B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds Correct Answer: a
Which clinical manifestation further supports an assessment of a left-sided brain attack? A)
Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia. ANSWER: D
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing
intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. ANSWER: B
A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT for a patient. Which data
warrants immediate intervention by the nurse concerning this diagnostic test? A) Elevated blood
pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation. ANSWER: C
A client's daughter is sitting by her mother's bedside who was recently transferred to the Intermediate
Care Unit. She states "I don't understand what a brain attack is. The healthcare provider told me my
mother is in serious condition and they are going to run several tests. I just don't know what is going on.
What happened to my mother?" What is the best response by the nurse?
A) "I am sorry, but according to the Health Insurance Portability and Accounting Act (HIPAA), I cannot
give you any information."
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