The nurse is caring for a patient recently admitted with a stroke. The patient is experiencing nausea and begins to vomit. Which of the following actions should the nurse take first?

Assist the patient to turn to her side.

Give an antiemetic as ordered.

Perform a test for blood on the emesis.

Call for an aide to get suction set up.

Answer and Explanation

The Correct Answer is A

A. Assist the patient to turn to her side: This is the priority action to prevent aspiration of vomitus, which can be a serious complication for stroke patients who may have impaired swallowing and a reduced gag reflex.
B. Give an antiemetic as ordered: While important, administering an antiemetic should come after ensuring the patient’s safety and preventing aspiration.
C. Perform a test for blood on the emesis: This is not the immediate priority. Preventing aspiration is the first concern.
D. Call for an aide to get suction set up: Suction may be necessary if the patient is at risk of aspiration, but the first step is to turn the patient to prevent choking and aspiration.

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Correct Answer is A

Explanation

A. "Smoking cessation is important because nicotine is a vasoconstrictor.": Buerger disease is strongly associated with tobacco use, and nicotine causes vasoconstriction, which exacerbates the condition. Smoking cessation is crucial in managing and preventing progression.
B. "Adequate fluid intake is important to maintain blood pressure.": While staying hydrated is generally important, it is not specifically related to the management of Buerger disease, which is more focused on vascular health and smoking cessation.
C. "Those most affected are middle-aged women after menopause.": Buerger disease predominantly affects young male smokers, not middle-aged women.
D. "A low-fat diet is required to reduce atherosclerosis in large arteries.": Buerger disease involves inflammation and thrombosis in small and medium-sized arteries and veins, not atherosclerosis in large arteries. Therefore, a low-fat diet, while beneficial for general cardiovascular health, is not specifically targeted for Buerger disease.

A. Consume a DASH diet. B. Maintain a healthy weight. C. Increase moderate intensity aerobic exercise. D. Quit smoking E. Increase alcohol consumption.

Correct Answer is ["A","B","C","D"]

Explanation

A. Consume a DASH diet.: The DASH (Dietary Approaches to Stop Hypertension) diet is effective in lowering blood pressure. It emphasizes fruits, vegetables, whole grains, and lean proteins.
B. Maintain a healthy weight.: Maintaining a healthy weight helps lower the workload on the heart and reduces blood pressure.
C. Increase moderate intensity aerobic exercise.: Regular aerobic exercise can help lower blood pressure and improve overall cardiovascular health.
D. Quit smoking.: Smoking cessation reduces the risk of hypertension and other cardiovascular diseases.
E. Increase alcohol consumption.: This is incorrect. Excessive alcohol intake can raise blood pressure and increase the risk of hypertension.

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The nurse is caring for a patient recently admitted with a stroke. The patient is experiencing nausea and begins to vomit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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