The nurse is assessing a patient with a suspected stroke. What assessment finding is most suggestive of a stroke?
Facial droop
Dysrhythmias
Periorbital edema
Projectile vomiting .
The Correct Answer is A
Choice A rationale
Facial droop is a classic symptom of stroke. It occurs when there’s weakness or paralysis on one side of the face, which is caused by a disruption in the nerve signals due to a stroke. This can be easily observed in the person’s smile, as it will appear uneven.
Choice B rationale
While dysrhythmias can be associated with stroke, they are not the most indicative symptom. Dysrhythmias are more commonly associated with heart conditions.
Choice C rationale
Periorbital edema, or swelling around the eyes, is not typically a symptom of stroke. It can be caused by various conditions such as allergies, infections, or kidney problems.
Choice D rationale
Projectile vomiting is not typically a symptom of stroke. It can be caused by various conditions such as gastrointestinal issues, brain tumors, or increased intracranial pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Slowing of activity, also known as bradykinesia, is a common symptom of Parkinson’s disease. It is characterized by a general reduction in the speed and amplitude of voluntary movements, leading to difficulties with tasks such as walking, talking, and performing other self-care activities.
Choice B rationale
Muscle flaccidity is not typically associated with Parkinson’s disease. Instead, people with Parkinson’s often experience muscle rigidity or stiffness.
Choice C rationale
A gait with the body leaning backward is not a typical symptom of Parkinson’s disease. People with Parkinson’s disease often have a stooped posture, with the body leaning forward.
Choice D rationale
Continuous tremors are a hallmark symptom of Parkinson’s disease, but they are not present in all cases. Tremors in Parkinson’s disease are often described as a “pill-rolling” tremor because the movement resembles the motion of trying to roll a pill between the thumb and index finger.
Correct Answer is ["4 "]
Explanation
The nurse is preparing to administer 40 mg of furosemide intravenously. The available furosemide is 10 mg/1 mL.
Step 1 is: Calculate the dose in mL using the formula: (Desired dose ÷ Available dose) × Volume.
Step 2 is: Substitute the given values into the formula: (40 mg ÷ 10 mg) × 1 mL = 4 mL. The nurse should administer 4 mL per dose.
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