A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?
Call 9-1-1.
Determine if the client has a history of migraine headaches.
Give the client a dose of acetaminophen.
Assure the client the symptoms will resolve within 24 hours.
None of the above.
The Correct Answer is A
Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.
Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.
Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.
Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Drinking large amounts of alcohol can relieve symptoms of essential tremor is false because essential tremor is a different neurological disorder from PD, and alcohol can worsen PD symptoms or interact with medications.
Choice B reason: Motor tremors and slow movement accompany severe cognitive impairment is false because not all people with PD develop cognitive impairment, and the severity of motor and cognitive symptoms may not correlate.
Choice C reason: It is advised to take levodopa-carbidopa on an empty stomach is true because food, especially protein, can interfere with the absorption of levodopa-carbidopa, which is the main medication for PD.
Choice D reason: Lewy body dementia (LBD) is the most common form of dementia is false because Alzheimer's disease is the most common form of dementia, and LBD is a related but distinct condition that can affect some people with PD.
Correct Answer is ["A","C","D"]
Explanation
Choice A: Increase in physical activity
Physical activity can strengthen the muscles that help control urination. Exercises such as Kegels can specifically target these muscles, leading to improvements in urinary incontinence.
Choice B: Blood sugar control
While blood sugar control is important for overall health and can prevent complications from diabetes, it is not directly associated with improvements in urinary incontinence.
Choice C: Smoking cessation
Smoking can lead to coughing which puts pressure on the bladder and can exacerbate symptoms of urinary incontinence. Therefore, smoking cessation can lead to improvements.
Choice D: Weight reduction
Excess weight can put pressure on the bladder and surrounding muscles. Losing weight can reduce this pressure and improve symptoms of urinary incontinence.
There is no Choice E in this case. Each of these interventions can contribute to overall health and may indirectly affect urinary incontinence, but Choices A, C, and D are the most directly related to improvements in this condition.
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