A nurse is caring for a client on a medical-surgical unit

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
as evidenced by the client's
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.

Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.

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Correct Answer is D

Explanation

A. Difficulty reading (alexia) is typically associated with left hemisphere strokes.

B. Aphasia (language impairment) is more commonly associated with left hemisphere damage.

C. Right hemiparesis would result from a left hemisphere stroke.

D. Right hemisphere strokes often result in cognitive and perceptual deficits, such as visual-spatial issues and prosopagnosia, which is the inability to recognize familiar faces.

A. Wrap the residual limb with an elastic bandage in a figure-eight configuration. B. Wrap the residual limb with an elastic bandage in a proximal-to-distal direction. C. Remove the elastic bandage and re-wrap the residual limb once a day. D. Secure the elastic bandage to the lowest joint.

Correct Answer is A

Explanation

A. Wrapping the residual limb in a figure-eight configuration provides compression and support, shaping the limb for prosthesis fitting, and promoting proper circulation.

B. Wrapping in a proximal-to-distal direction can restrict blood flow and does not provide the appropriate support needed for prosthetic shaping.

C. The bandage should be rewrapped more frequently than once a day to maintain compression and limb shape.

D. Securing the bandage at the lowest joint is inadequate as it may allow loosening and improper shaping of the residual limb.

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A nurse is caring for a client on a medical-surgical unit Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown as evidenced by the client's dropdown .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following a below-the knee-amputation and will soon undergo fitting for a leg prosthesis. Which of the following is an appropriate nursing intervention for this client at this time?

Correct Answer is A

Explanation

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A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?

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A nurse is caring for a client on a medical-surgical unit

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
as evidenced by the client's
dropdown
.