A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?

“Managing my cholesterol will reduce my chances of having a stroke.”

“My blood pressure needs to stay a little elevated for good blood flow to my brain.”

“Using oral contraceptives provides me with protection from a stroke.”

“I can safely have up to 3 alcoholic drinks a day.”

Answer and Explanation

The Correct Answer is A

a. “Managing my cholesterol will reduce my chances of having a stroke.”: High cholesterol is a risk factor for stroke, and managing it can help reduce the risk.

b. “My blood pressure needs to stay a little elevated for good blood flow to my brain.”:

Maintaining normal blood pressure is essential for preventing stroke, and elevated blood pressure is a risk factor for stroke.

c. “Using oral contraceptives provides me with protection from a stroke.”: Oral contraceptives, especially in the presence of other risk factors, can increase the risk of stroke.

d. “I can safely have up to 3 alcoholic drinks a day.”: Excessive alcohol consumption is a risk factor for stroke, and moderation is advised to reduce the risk.

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Correct Answer is A

Explanation

a. Potassium level of 3.0 mEq/L: Hypokalemia is a potential adverse effect of digoxin, and a

potassium level of 3.0 mEq/L is below the normal range. Low potassium levels can increase the risk of digoxin toxicity.

b. Heart rate of 66/min: A heart rate of 66/min is within the normal range. Digoxin is used to

treat conditions like atrial fibrillation, and the heart rate should be within an appropriate range for the client's condition.

c. BP of 132/82 mm Hg: Blood pressure within the normal range does not require immediate reporting in the context of digoxin administration.

d. Digoxin level of 1.2 ng/ml: The digoxin level of 1.2 ng/ml is within the therapeutic range, and it does not require immediate reporting.

A. Tetany B. Constipation C. Negative Chvostek sign D. Elevated blood pressure

Correct Answer is A

Explanation

a. Tetany: A calcium level of 8 mg/dl is low and can be associated with tetany.

b. Constipation:This is associated with hypercalcemia as opposed to hypocalcemia

c. Negative Chvostek sign: A positive Chvostek sign is associated with hypocalcemia, not hypercalcemia.

d. Elevated blood pressure: Elevated calcium levels are not typically associated with elevated blood pressure. Hypertension is not a common manifestation of hypercalcemia.

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A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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