A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

Elevate the head of the bed to 30 degrees.

Administer mannitol as prescribed.

Monitor the client's intracranial pressure.

All of the above.

Answer and Explanation

The Correct Answer is D

Choice A reason:

This is correct because elevating the head of the bed to 30 degrees can help reduce intracranial pressure by facilitating venous drainage and decreasing cerebral blood volume.

Choice B reason:

This is correct because administering mannitol as prescribed can help reduce intracranial pressure by creating an osmotic gradient that draws fluid out of the brain tissue and into the bloodstream.

Choice C reason:

This is correct because monitoring the client's intracranial pressure can help detect any signs of increased intracranial pressure or cerebral herniation, which can be life-threatening complications of cerebral edema.

Choice D reason:

This is correct because all of the above interventions are appropriate for a client who has ischemic stroke and is at risk for cerebral edema.

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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. The PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body. B. The PNS is divided into two subdivisions: the somatic nervous system and the autonomic nervous system. C. The PNS controls voluntary movements of skeletal muscles and provides sensory feedback from the skin, joints, and muscles. D. The PNS regulates involuntary functions of smooth muscles, cardiac muscles, and glands.

Correct Answer is D

Explanation

Choice A reason:

This is a correct statement, as the PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.

Choice B reason:

This is a correct statement, as the PNS is divided into two subdivisions: the somatic nervous system (SNS) and the autonomic nervous system (ANS).

Choice C reason:

This is a correct statement, as the PNS controls voluntary movements of skeletal muscles and provides sensory feedback from the skin, joints, and muscles through the SNS.

Choice D reason:

This is an incorrect statement, as this is the function of the ANS, which is a subdivision of the PNS. The ANS regulates involuntary functions of smooth muscles, cardiac muscles, and glands through its two branches: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).

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A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is D

Explanation

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