A nurse is evaluating the outcomes of a client who has ischemic stroke and has received rehabilitation. Which of the following statements by the client indicates an improvement in functional recovery?

"I can move my arm and leg on the affected side better than before."

"I can speak more clearly and understand what others are saying."

"I can swallow without choking or coughing."

All of the above.

Answer and Explanation

The Correct Answer is D

Choice A reason:

This is correct because improved movement of the arm and leg on the affected side indicates an improvement in motor function, which can be impaired by ischemic stroke.

Choice B reason:

This is correct because improved speech and comprehension indicate an improvement in language function, which can be impaired by ischemic stroke, especially if it affects the dominant hemisphere.

Choice C reason:

This is correct because improved swallowing indicates an improvement in cranial nerve function, which can be impaired by ischemic stroke, especially if it affects the brainstem.

Choice D reason:

This is correct because all of the above statements indicate an improvement in functional recovery, which is the goal of rehabilitation for clients who have ischemic stroke.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason:

This is correct because hypertension is a modifiable risk factor for ischemic stroke, as it increases the stress on the arterial walls and accelerates atherosclerosis, which can lead to plaque formation and reduced blood flow to the brain.

Choice B reason:

This is correct because smoking is a modifiable risk factor for ischemic stroke, as it damages the endothelial lining of the arteries and promotes thrombosis, which can lead to clot formation and blockage of blood flow to the brain.

Choice C reason:

This is correct because diabetes mellitus is a modifiable risk factor for ischemic stroke, as it causes hyperglycemia and dyslipidemia, which can damage the blood vessels and increase the risk of atherosclerosis and thrombosis.

Choice D reason:

This is incorrect because age is a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke increases with age due to physiological changes in the blood vessels and other organs.

Choice E reason:

This is incorrect because family history is also a non-modifiable risk factor for ischemic stroke, as it cannot be changed or controlled by the client. The risk of ischemic stroke may be higher in clients who have relatives who had a stroke due to genetic or environmental factors.

A. Bending forward at the waist. B. Lifting heavy objects. C. Sitting for prolonged periods. D. Swimming or water aerobics. E. Walking or jogging.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason:

This is correct because bending forward at the waist can increase the pressure on the spinal discs and nerve roots, which can worsen radiculopathy symptoms.

Choice B reason:

This is correct because lifting heavy objects can also increase the pressure on the spinal discs and nerve roots, as well as strain the back muscles and ligaments, which can worsen radiculopathy symptoms.

Choice C reason:

This is correct because sitting for prolonged periods can reduce blood flow to the spinal discs and nerve roots, which can impair healing and worsen radiculopathy symptoms.

Choice D reason:

This is incorrect because swimming or water aerobics can be beneficial for clients with radiculopathy, as they can reduce stress on the spine, improve flexibility and strength, and relieve pain.

Choice E reason:

This is incorrect because walking or jogging can also be beneficial for clients with radiculopathy, as they can improve blood flow to the spine, enhance mood and well-being, and prevent deconditioning.

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A nurse is evaluating the outcomes of a client who has ischemic stroke and has received rehabilitation. Which of the following statements by the client indicates an improvement in functional recovery?

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