A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A contrecoup injury is not considered a "true" injury, and a coup injury can be more devastating.

The coup injury is the primary focal injury, and the contrecoup injury occurs on the opposite side of the brain.

The coup injury occurs secondary to the contrecoup injury but does not affect blood supply to the brain.

Contrecoup injuries are less severe and easier to heal from over time.

Answer and Explanation

The Correct Answer is B

A. A contrecoup injury is a true injury and can be significant; stating it is not considered "true" is incorrect and indicates a lack of understanding.
B. This statement accurately describes coup and contrecoup injuries, where a coup injury occurs at the site of impact and a contrecoup injury occurs on the opposite side of the brain.
C. This statement is incorrect because a coup injury does not occur secondary to the contrecoup; they can happen simultaneously during trauma.
D. Contrecoup injuries can be just as severe as coup injuries, and the healing process varies; stating they are easier to heal from is misleading and reflects a misunderstanding.

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Correct Answer is A

Explanation

A. Dysphagia increases the risk of aspiration, especially when swallowing difficulties are present, making it essential to monitor for signs of aspiration.
B. Gastroesophageal reflux disease (GERD) is not directly related to dysphagia from a stroke.
C. Dumping syndrome occurs after certain types of gastric surgery and is not associated with dysphagia post-stroke.
D. Peptic ulcer disease is not a typical complication of dysphagia following a stroke.

A. Report of dizziness B. Temperature of 39° C (102.2° F) C. Hypoglycemia D. History of cigarette smoking

Correct Answer is A

Explanation

A. A heart rate of 56/min indicates bradycardia, which can reduce cardiac output and lead to dizziness due to decreased cerebral perfusion.
B. A high temperature is not directly associated with bradycardia; fever typically causes tachycardia.
C. Hypoglycemia does not have a direct relationship with bradycardia; it is more commonly associated with symptoms like sweating, confusion, and tremors.
D. Cigarette smoking typically contributes to conditions like tachycardia and vascular constriction, not bradycardia.

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A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the client for which of the following complications?

Correct Answer is A

Explanation

A nurse is collecting data on a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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