A client is admitted for evaluation of cerebral aneurysm. Which assessment finding is of greatest importance in prioritizing nursing care to this client?

Complaint of headache off and on for past month.

Nausea.

No bowel movement since yesterday.

Frequent voiding.

Answer and Explanation

The Correct Answer is A

complaint of headaches off and on for the past month. A cerebral aneurysm is a bulging or ballooning in a blood vessel in the brain that can cause severe headaches or rupture, leading to bleeding in the brain. Therefore, a complaint of a headache is of greatest concern and requires immediate attention.

Nausea (B) is a common symptom associated with many disorders, and it may or may not be related to a cerebral aneurysm. No bowel movement since yesterday

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Correct Answer is A

Explanation

Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.

Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.

Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.

Elevated white blood cells, choice D, may indicate an infection.

A. Reduced tensile strength. B. Loss of function. C. Lack of mobility. D. Allergic reaction.

Correct Answer is A

Explanation

Reduced tensile strength. A history of dislocations of the same joint may be due to an insufficient deposit of collagen during the healing process. Collagen is a protein that provides tensile strength to connective tissues such as tendons and ligaments. Reduced tensile strength may result in instability and dislocation of joints.

Option B: Loss of function is not a correct answer as it is a general term and can occur due to various reasons such as damage to muscles or nerves.

Option C: Lack of mobility is not a correct answer as it is similar to loss of function and does not explain the history of dislocations.

Option D: Allergic reaction is not a correct answer as it is not related to dislocations of joints.

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A client is admitted for evaluation of cerebral aneurysm. Which assessment finding is of greatest importance in prioritizing nursing care to this client?

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Naxlex Comprehensive Predictor Exams

A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

Correct Answer is A

Explanation

A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

Correct Answer is A

Explanation

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