A nurse is teaching about the risk factors of developing a stroke with a group of older adult clients. Which nonmodifiable risk factors should the nurse include in the teaching?

Obesity

Race

History of smoking

History of hypertension

Answer and Explanation

The Correct Answer is B

Rationale:

A. Obesity is a modifiable risk factor, as it can be addressed through lifestyle changes such as diet and exercise.

B. Race is a nonmodifiable risk factor; certain races may have a higher risk of stroke due to genetic and environmental factors.

C. History of smoking is a modifiable risk factor because individuals can choose to quit smoking to reduce their risk of stroke.

D. History of hypertension is also a modifiable risk factor; while having high blood pressure increases the risk of stroke, it can be managed with lifestyle changes and medications.

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Correct Answer is B

Explanation

A. Auscultating the area may not provide information about the dorsalis pedis pulse, which is a palpated pulse.

B. Using Doppler ultrasonography is the most appropriate next step to locate the dorsalis pedis pulse if it cannot be palpated, as it provides a non-invasive way to detect blood flow.

C. While documenting the absence of the pulse is necessary, it should be done after attempts to locate the pulse have been made.

D. It is not immediately necessary to ask a provider to assess the pulse; the nurse can use Doppler ultrasonography first to gather more information.

A. Observing for facial symmetry B. Checking the pupillary response to light C. Testing visual acuity D. Eliciting the gag reflex

Correct Answer is B

Explanation

A. Observing for facial symmetry assesses cranial nerves VII (facial nerve), not cranial nerve III.

B. Cranial nerve III (oculomotor nerve) is responsible for eye movement and pupillary response, making checking the pupillary response to light the correct action.

C. Testing visual acuity primarily assesses cranial nerve II (optic nerve), not cranial nerve III.

D. Eliciting the gag reflex is associated with cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve III.

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A nurse is teaching about the risk factors of developing a stroke with a group of older adult clients. Which nonmodifiable risk factors should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve III?

Correct Answer is B

Explanation

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