A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
The client becomes exhausted while brushing her teeth.
The client coughs while drinking from a straw.
The client is unable to bear her full weight while walking.
The client is having difficulty reading large print.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"The lesions may reoccur in times of stress." This statement indicates that the client understands that the virus can reactivate and cause new outbreaks during times of stress.
Choice A is not correct because thevirus can spread to other areas through skin-to-skin contact.
Choice C is not correct because the virus can still be contagious even when no lesions are present.
Choice D is not correct because having unprotected sex can still transmit the virus even while taking acyclovir.
Correct Answer is B
Explanation
A platelet count of 60,000/mm² is below the expected reference range, and the nurse should report this value to the provider. Ammonia, aspartate aminotransferase, and bilirubin values are within expected reference ranges and do not require further reporting.
Other choices are not correct because:
A. Ammonia 55 mcg/dL: Is within the expected reference range and does not require further reporting.
C. Aspartate aminotransferase 34 units/L: Is within the expected reference range and does not require further reporting.
D. Bilirubin 1.0 mg/dL: Is within the expected reference range and does not require further reporting.
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