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A 68-year-old male presents to the emergency department with sudden onset of right-sided weakness and difficulty speaking. The symptoms resolved after 20 minutes. Which of the following are appropriate actions and considerations for this patient who has experienced a transient ischemic attack (TIA)?
(Select All that Apply.)

Assume the episode was a migraine and schedule a neurology follow-up for a later date.

Discharge the patient immediately since the symptoms resolved.

Initiate antiplatelet therapy, such as aspirin, to reduce the risk of future strokes.

Order a CT scan of the head to rule out intracranial hemorrhage.

Start anticoagulation therapy immediately without further evaluation.

Conduct a carotid ultrasound to assess for stenosis.

Refer the patient for lifestyle modifications, including smoking cessation and diet changes.

Answer and Explanation

Correct Answer : C,D,F,G

A.   Assuming the episode was a migraine and scheduling a follow-up is not appropriate. TIAs are serious warning signs of potential future strokes and require immediate attention and evaluation.
B.   Discharging the patient immediately after symptoms resolve is not appropriate. Even though symptoms resolve, TIAs are medical emergencies, and further evaluation is necessary to reduce the risk of a full-blown stroke.
C.   Initiating antiplatelet therapy, such as aspirin, is an appropriate action to reduce the risk of future strokes in patients who have had a TIA.
D.   Ordering a CT scan of the head is appropriate to rule out an intracranial hemorrhage and other causes of the symptoms.

E.   Starting anticoagulation therapy immediately without further evaluation is not recommended. The patient must be properly assessed before starting anticoagulation to determine the cause of the TIA and if anticoagulation is appropriate.
F.   Conducting a carotid ultrasound is appropriate to assess for stenosis, which could be contributing to the TIA.
G.   Referring the patient for lifestyle modifications, including smoking cessation and diet changes, is crucial to reduce future stroke risk. These interventions help prevent the recurrence of TIAs and strokes.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","G"]

Explanation

A. Nocturia (frequent urination at night) is a common symptom of BPH due to increased urinary retention and urgency.
B. Fever and chills are not associated with BPH; these symptoms suggest an infection or other underlying condition.
C. Increased urinary frequency is a key symptom of BPH due to pressure on the urethra, making it more difficult to empty the bladder completely.
D. Hesitancy in starting urine flow is common in BPH due to the obstruction of the urethra by the enlarged prostate.
E. Hematuria is not a typical finding of BPH, though it can sometimes occur if the prostate is irritated.
F. Abdominal distension is not typically associated with BPH.
G. Decreased urinary stream is often observed in BPH because the enlarged prostate compresses the urethra, making urination difficult.

A. Persistence of manifestations B. No hypersensitivity to allergens C. Positive response to corticosteroids D. Asthma flare-ups during exercise E. Nasal inflammation F. Asthma flare-ups with NSAID administration

Correct Answer is ["B","D","F"]

Explanation

A. Nonallergic asthma typically persists throughout the year, not just during certain seasons or in response to allergens.
B. Nonallergic asthma occurs in the absence of hypersensitivity to allergens, so the patient will not exhibit typical allergic reactions.
C. Corticosteroids are often effective in managing both allergic and nonallergic asthma, so a positive response to corticosteroids is common.
D. Exercise-induced asthma flare-ups are common in nonallergic asthma, especially with physical activity.
E. Nasal inflammation is more common with allergic asthma than nonallergic asthma.
F. NSAIDs can trigger asthma flare-ups in some people with nonallergic asthma due to the effect on prostaglandins and inflammatory mediators.

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Naxlex Comprehensive Predictor Exams

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

Correct Answer is ["A","C","D","G"]

Explanation

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

Correct Answer is ["B","D","F"]

Explanation

A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

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A 55-year-old patient with rheumatoid arthritis is being evaluated for disease progression. Which of the following laboratory findings is most indicative of increased disease activity?

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A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?