A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?

Test for a swallowing reflex and perform communication deficit assessments.

Administer aspirin to prevent further clot formation and platelet clumping

Initiate bilateral intermittent sequential pneumatic compression devices.

Determine when symptoms began and if improved or worsened since onset.

Answer and Explanation

The Correct Answer is D

D. Assessing the time of symptom onset and determining if the symptoms have improved or worsened since onset is crucial for determining the urgency of the situation and guiding further management. This information helps the healthcare team identify the potential cause of the symptoms and decide on the appropriate course of action. Sudden onset of confusion and trouble speaking can be indicative of various serious conditions such as stroke, transient ischemic attack (TIA), intracranial hemorrhage, or other neurological emergencies.
A. Assessing for a swallowing reflex and performing communication deficit assessments are important aspects of the client's assessment but they may not be the immediate priority in the initial management of the client.
B. Administering aspirin to prevent further clot formation and platelet clumping may be appropriate if the client is suspected to have an ischemic stroke, but it should be done based on a comprehensive assessment
C. Initiating bilateral intermittent sequential pneumatic compression devices is indicated for preventing deep vein thrombosis (DVT) in hospitalized clients, but it is not the most immediate intervention for this particular client.

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Correct Answer is D

Explanation

D. Swimming is a low-impact exercise that is gentle on the joints and can provide numerous benefits for individuals with osteoarthritis. The buoyancy of water reduces stress on the joints while allowing for a full range of motion, making swimming an ideal exercise for improving joint flexibility, muscle strength, and cardiovascular fitness without exacerbating symptoms of osteoarthritis. Additionally, swimming can help relieve joint pain and stiffness and improve overall physical function in older adults with osteoarthritis.
A. Jogging or running can place significant stress on the joints, particularly the knees and hips, which may exacerbate symptoms of osteoarthritis and increase the risk of joint injury. High- impact activities like jogging or running are generally not recommended for individuals with osteoarthritis, especially in weight-bearing joints.
B. While engaging in daily activities can provide some level of physical activity, it may not be sufficient for managing osteoarthritis symptoms or improving joint function. Older adults with osteoarthritis can benefit from structured exercise programs tailored to their needs, which may include a variety of exercises aimed at improving joint flexibility, strength, and overall physical function.
C. Tennis or racquetball are high-impact sports that involve repetitive movements and may exacerbate joint pain and stiffness in individuals with osteoarthritis, particularly in the wrists, elbows, and shoulders. Engaging in these activities can increase the risk of joint injury and may not be suitable for older adults with osteoarthritis.

Correct Answer is ["1.6"]

Explanation

To determine how many milliliters (mL) of diazepam the nurse should administer to the client, first, we need to calculate the amount of medication needed for each dose.

The prescribed dose is 8 mg of diazepam.

Volume= Desired dose/available concentration per ml

Available concentration per ml= 10mg/2ml Available concentration per ml= 5mg/ml Volume= 8mg/5mg per ml

Volume= 1.6ml

So, the nurse should administer 1.6 mL of diazepam to the client.

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A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?

Correct Answer is D

Explanation

Correct Answer is ["1.6"]

Explanation

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