Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse determines the client and spouse understand the stroke education when they verbalize that
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Rationale:
• Being familiar with stroke symptoms: Recognizing early stroke symptoms such as facial droop, arm weakness, and speech difficulty allows for rapid activation of emergency services. Early recognition is critical because timely treatment with thrombolytic therapy significantly improves outcomes. Education on symptom recognition empowers both the client and spouse to act quickly if symptoms recur.
• Help prevent reoccurrence: Prompt recognition and rapid response to stroke symptoms reduce delays in treatment during future events. Early intervention can limit brain injury and decrease long-term disability. Knowing when to seek immediate care helps prevent complications associated with prolonged ischemia.
• Anticoagulant medication: While anticoagulants may be prescribed due to atrial fibrillation, understanding medication use alone does not fully demonstrate stroke education comprehension. Anticoagulation reduces embolic risk but does not replace the need for symptom recognition.
• Accepting help: Accepting help relates more to coping and rehabilitation rather than prevention of recurrent stroke. Although support is important for recovery, it does not directly reduce the likelihood of another ischemic event. This option does not address early detection or risk mitigation.
• Using assistive devices: Assistive devices support mobility and safety during recovery but do not prevent stroke recurrence. Their use is more relevant to functional adaptation after neurological deficits. This reflects rehabilitation planning rather than stroke prevention knowledge. It does not demonstrate understanding of warning signs or risk reduction.
• Lower serum cholesterol: Lowering cholesterol is part of long-term cardiovascular risk management but is not directly linked to the education focus in this statement. Cholesterol control is typically achieved through medication and lifestyle changes, not symptom recognition. This narrows prevention to a single risk factor rather than comprehensive stroke awareness. It does not capture the urgency of recognizing acute symptoms.
• Prevent all falls: Falls prevention is important after stroke due to weakness and balance issues, but it is unrelated to preventing stroke recurrence. Education on falls focuses on safety rather than vascular risk reduction.
• Decrease independence: Stroke education aims to preserve function and independence, not reduce it. While some assistance may be necessary during recovery, the goal is maximizing autonomy. This option contradicts rehabilitation and recovery principles.
• Increase risk factors: Education is designed to reduce, not increase, stroke risk factors. Awareness and lifestyle modification are intended to mitigate future events. It does not demonstrate correct understanding by the client or spouse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Nuchal rigidity: Nuchal rigidity reflects meningeal irritation caused by inflammation of the meninges. Neck stiffness occurs due to pain and resistance when attempting neck flexion. It is a classic physical finding associated with meningitis and warrants immediate evaluation.
B. Lethargy: Lethargy may occur with many conditions including infection, metabolic disturbances, or medication effects. While it can accompany meningitis, it is nonspecific and not a defining physical sign. It does not directly indicate meningeal inflammation.
C. Hyperglycemia: Elevated blood glucose is related to endocrine or stress responses rather than central nervous system infection. It does not reflect meningeal involvement or intracranial inflammation. Hyperglycemia is not associated with meningitis diagnosis.
D. Left flank pain: Flank pain suggests renal or musculoskeletal pathology rather than neurologic or meningeal disease. It is unrelated to meningeal inflammation. This finding does not support suspicion of meningitis.
Correct Answer is B
Explanation
Rationale:
A. Adherence to a high fiber, low fat diet: Diet modifications are not the primary focus for Addison’s disease management. Nutritional adjustments may support overall health, but they do not prevent adrenal crises or manage steroid replacement therapy.
B. Events requiring steroid dose adjustments: Clients with Addison’s disease must increase glucocorticoid doses during stress, illness, surgery, or infection to prevent adrenal crisis. Teaching the client which situations require dose adjustments is essential for safe self-management and prevention of life-threatening complications.
C. Importance of recording daily weights: Daily weights are more relevant for clients with fluid balance concerns, such as heart failure. While important in some chronic illnesses, weight monitoring is not central to Addison’s disease management.
D. Need to check temperature daily: Routine temperature monitoring is not specifically required for Addison’s disease self-management unless the client is ill. Fever may indicate infection, but this is not a core self-care teaching point.
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