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NUR242/ NUR 242 EXAM 4: MED-SURG | GUIDE
WITH QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT- GALEN
QUESTION: What activity would the nurse include in the plan
of care for an immobilized client who had a stroke with right- sided hemiparesis?
Answer: The nurse is planning care for an immobilized client
who had a stroke with right-sided hemiparesis. Which activity would the nurse include in the plan of care? Assist the client to perform range-of-motion (ROM) exercises every 1 to 2 hours
QUESTION: What is the priority nursing action for a client
admitted to the hospital in a coma after having a stroke?
Answer: Which is the priority nursing action for a client
admitted to the hospital in a coma after having a stroke?Maintain an open airway.
QUESTION: What position would the nurse plan to use for a
client who is having a hypertensive crisis and evolving stroke?
Answer: Which position would the nurse plan to use for the
client who is having a hypertensive crisis and evolving stroke?Side-lying
QUESTION: What nursing action is essential when a client
experiences hemianopsia as the result of a left ischemic stroke?
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Answer: Which nursing action is essential when a client
experiences hemianopsia as the result of a left ischemic stroke?Place objects within the visual field
QUESTION: What complication would the nurse plan to
address if a client’s pupils initially are equal and reactive to light after a stroke, but later the right pupil reacts more slowly than the left and systolic blood pressure is rising?
Answer: Initially after a stroke, a client's pupils are equal and
reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is rising. Which complication would the nurse plan to address? Increased intracranial pressure
QUESTION: What professional management strategy will be
most effective for a registered nurse (RN) to improve the safety and quality of client care for a client hospitalized for a stroke?
Answer: The registered nurse (RN) is caring for a client who is
currently hospitalized for a stroke. Which professional management strategy will be most effective for the RN to improve the safety and quality of client care? Delegation
QUESTION: What actions does the Leapfrog Group suggest
hospital management take for a client on intravenous coagulant medications for a bleeding disorder who develops an embolic stroke due to medication overdose?
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Answer: The client taking intravenous coagulant medications
for a bleeding disorder suddenly develops an embolic stroke as a result of medication overdose. Which actions by the hospital management does the Leapfrog Group suggest? Select all that apply. One, some, or all responses may be correct. Apologize to the client and family. Waive all costs directly related to the adverse effect. Report the adverse event to The Joint Commission.
QUESTION: What action will the nurse complete when
preparing a stroke client for cerebral imaging with iodine-based contrast dye?
Answer: Which action will the nurse complete when preparing a
stroke client for cerebral imaging with iodine-based contrast dye? Ensure a recent creatinine level has been assessed.
QUESTION: What behaviors would the nurse include when
teaching a family what to expect from a client who experienced a stroke on the left side of the brain?
Answer: Which behaviors would the nurse include when
teaching a family what to expect from a client who experienced a stroke on the left side of the brain? Select all that apply. One, some, or all responses may be correct. Slow performance and caution Impaired speech/language aphasias Awareness of deficits with depression and anxiety
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QUESTION: What action by the nurse is most important in
preventing pneumonia for a client with difficulty swallowing after a stroke?
Answer: When a client has difficulty swallowing after a stroke,
which action by the nurse would be most important in preventing pneumonia? Having suction available during meals
QUESTION: What preventative would the nurse anticipate will
be prescribed daily to avoid straining due to constipation for a client who has had a recent brain attack (cerebrovascular accident/stroke)?
Answer: A client has had a recent brain attack (cerebrovascular
accident/stroke). Which preventative would the nurse anticipate will be prescribed daily to avoid straining due to constipation?Stool softener
QUESTION: What intervention would the disaster management
team nurse perform for survivors of an explosion who developed heat stroke?
Answer: Which intervention would the disaster management
team nurse perform for the survivors of an explosion who developed heat stroke? Apply ice packs on the client's scalp