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 ["35 "]
Explanation
Step 1 is to calculate the total daily dosage in milligrams. This is done by multiplying the weight of the client by the ordered daily dosage. So, 70 kg × 25 mg/kg = 1750 mg/day.
Step 2 is to divide the total daily dosage by the number of doses per day to get the dosage per dose. So, 1750 mg ÷ 2 = 875 mg/dose.
Step 3 is to calculate the volume of the dose in milliliters. The supply of Amoxicillin is 125 mg/5 mL, which means there are 125 mg of Amoxicillin in every 5 mL. So, to find out how many milliliters contain 875 mg, we set up a proportion: (125 mg / 5 mL) = (875 mg / x mL). Solving for x gives x = (875 mg × 5 mL) ÷ 125 mg = 35 mL. Therefore, the correct dosage for one dose is 35 mL.
Correct Answer is A
Explanation
Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.
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