The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

Transient ischemic attack

Basilar artery syndrome

Left middle cerebral artery syndrome

Right middle cerebral artery syndrome

Answer and Explanation

The Correct Answer is C

A. Transient ischemic attack (TIA): A TIA might cause transient symptoms similar to a stroke, including weakness and dysphasia, but it would not explain why the symptoms are localized to the right side of the body. Additionally, TIA symptoms typically resolve within 24 hours.
B. Basilar artery syndrome: This type of stroke affects the brain stem, resulting in symptoms such as double vision, vertigo, and ataxia, rather than localized right-sided weakness and dysphasia.
C. Left middle cerebral artery syndrome: The left middle cerebral artery (MCA) supplies blood to the left hemisphere of the brain, including areas that control language and motor function on the right side of the body. Thus, an infarct in this area often leads to right-sided weakness and dysphasia, making it the most likely suspect.
D. Right middle cerebral artery syndrome: This would typically result in left-sided weakness and possibly neglect, but not right-sided symptoms

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Correct Answer is D

Explanation

A. The amount of pressure exerted by the veins and arteries on the heart.: This is not accurate. Blood pressure specifically measures the force exerted by blood on the walls of arteries, not veins, and not the pressure they exert on the heart.
B. The amount of blood volume within the blood vessels.: This is incorrect. Blood pressure is related to blood volume, but it specifically measures the force against the arterial walls.
C. The amount of resistance within the veins during heart contraction.: Blood pressure refers to arterial pressure, not venous resistance.
D. The amount of force being placed on arteries by blood.: This is correct. Blood pressure measures the force of blood pushing against the walls of the arteries as the heart pumps blood through the circulatory system.

A. “Take off work for the rest of the day to rest at home." B. "Return to work and have your blood pressure rechecked in 2 days." C. "Take two doses of blood pressure medication right now." D. "Sit quietly while we call 911 to request an ambulance."

Correct Answer is D

Explanation

A. “Take off work for the rest of the day to rest at home.": This advice is not adequate for such a high blood pressure reading, which indicates a hypertensive crisis that requires immediate medical intervention.
B. "Return to work and have your blood pressure rechecked in 2 days.": This is inappropriate as it delays necessary urgent medical evaluation and treatment.
C. "Take two doses of blood pressure medication right now.": Without medical supervision, this could be dangerous and is not appropriate in an emergency situation where the blood pressure is critically high.
D. "Sit quietly while we call 911 to request an ambulance.": A blood pressure of 220/120 mm Hg suggests a hypertensive emergency, which can lead to life-threatening complications like stroke or heart attack. The patient needs immediate medical attention, and calling 911 is the appropriate response.

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The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

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Naxlex Comprehensive Predictor Exams

The nurse explains to the patient that blood pressure measures

Correct Answer is D

Explanation

During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

Correct Answer is D

Explanation

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