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 D

Explanation

Choice A reason:

This is a correct statement, as the CNS receives sensory information from various receptors in the body and interprets it.

Choice B reason:

This is a correct statement, as the CNS initiates and coordinates motor commands to control voluntary and involuntary movements.

Choice C reason:

This is a correct statement, as the CNS is involved in higher cognitive functions such as memory, learning, reasoning, and emotions.

Choice D reason:

This is an incorrect statement, as this is the function of the PNS. The PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.

A. Atherosclerosis B. Atrial fibrillation C. Cerebral aneurysm D. Arteriovenous malformation

Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because atherosclerosis is the main cause of ischemic stroke, as it leads to the formation of plaques that narrow the cerebral arteries and reduce blood flow to the brain.

Choice B reason:

This is incorrect because atrial fibrillation is a risk factor for ischemic stroke, but not the most common cause. Atrial fibrillation can cause embolic stroke, which occurs when a blood clot from the heart travels to the brain and blocks a cerebral artery.

Choice C reason:

This is incorrect because cerebral aneurysm is a cause of hemorrhagic stroke, not ischemic stroke. Cerebral aneurysm is a weak spot in a cerebral artery that can rupture and bleed into the brain.

Choice D reason:

This is incorrect because arteriovenous malformation is also a cause of hemorrhagic stroke, not ischemic stroke. Arteriovenous malformation is a congenital abnormality of the blood vessels in the brain that can leak or burst and cause bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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