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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
This is an incorrect answer, as MS is not caused by an autoimmune attack on nerve cells, but rather on nerve coverings called myelin sheaths.
Choice B reason:
This is an incorrect answer, as MS is not caused by a degeneration of nerve fibers, but rather by an inflammation of nerve coverings called myelin sheaths.
Choice C reason:
This is a correct answer, as MS is caused by an inflammation of nerve coverings called myelin sheaths, which impair transmission of nerve impulses.
Choice D reason:
This is an incorrect answer, as MS is not caused by a compression of nerve roots, but rather by an inflammation of nerve coverings called myelin sheaths.
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