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 B

Explanation

A. "I will avoid crossing my legs at the knees.": This is appropriate because crossing legs can reduce blood flow and increase the risk of blood clots, exacerbating PVD symptoms.
B. "I will wear stockings with elastic tops.": This indicates a need for further teaching. Stockings with tight elastic tops can constrict blood flow and are not recommended for patients with PVD. They should use graduated compression stockings if prescribed.
C. "I will use a thermometer to check the temperature of my bath water.": This is appropriate as it prevents burns in patients with reduced sensation due to PVD.
D. "I will not go barefoot.": This is appropriate to avoid injuries and infections, which can be problematic for individuals with PVD due to poor circulation.

A. Monitor blood glucose levels. B. Lifestyle modifications and medication adherence will not prevent blindness, C. Lifestyle modifications can prevent strokes. D. End organ damage is inevitable because of microvascular changes that occur. E. Take medications as ordered.

Correct Answer is ["A","C","E"]

Explanation

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

Which tests can be used to assist in diagnosing a patient with peripheral arterial disease? Select all that apply. (Select All that Apply.)

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?

The nurse is caring for a patient suffering from left-sided hemianopsia after having a stroke. Which nursing diagnosis is priority for this patient?