The nurse is providing education about the warning signs of stroke to a nursing student. Which information would be appropriate for the nurse to include in the teaching?

Women often have vague symptoms of stroke such as weakness or hallucinations.

The FAST acronym stands for Face, Arms, Swallowing, and Time.

Stroke patients always present with dysphasia.

Treatment that begins within 3 hours of symptom onset can minimize or avoid permanent loss of function.

Answer and Explanation

The Correct Answer is D

A. Women often have vague symptoms of stroke such as weakness or hallucinations: While women may sometimes present with less typical symptoms, stating that hallucinations are common is misleading. Stroke symptoms in women can vary, but weakness and other neurological deficits are more common.
B. The FAST acronym stands for Face, Arms, Swallowing, and Time: This is incorrect. FAST stands for Face (drooping), Arms (weakness), Speech (difficulty), and Time (importance of quick action).
C. Stroke patients always present with dysphasia: This is incorrect. Not all stroke patients have speech difficulties; symptoms vary depending on the area of the brain affected.
D. Treatment that begins within 3 hours of symptom onset can minimize or avoid permanent loss of function: This is correct. Timely intervention, especially with treatments like tPA for ischemic strokes, can significantly reduce the extent of brain damage and improve outcomes.

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Correct Answer is C

Explanation

A. Calcium 9.4 mg/dL: This is within the normal range for calcium (8.5-10.2 mg/dL), so it is not a concern.
B. Sodium 140 mEq/L: This value is within the normal range for sodium (135-145 mEq/L), so it is not a concern.
C. Potassium 2.5 mEq/L: This is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia, which is a common side effect of furosemide, a diuretic. Hypokalemia can cause serious cardiac issues and requires prompt attention.
D. Magnesium 1.9 mEq/L: This is within the normal range for magnesium (1.5-2.5 mEq/L), so it is not a concern.

A. Numbness and tingling in the opposite extremity B. Severe. Increasing pain that is not relieved with opioids C. Absence of pain in the affected extremity D. Increased pain in the affected extremity upon ambulation

Correct Answer is B

Explanation

A. Numbness and tingling in the opposite extremity: These symptoms might suggest a neurological issue but are not related to compartment syndrome, which is localized to the affected limb and involves pressure within a muscle compartment.
B. Severe, increasing pain that is not relieved with opioids: This is a hallmark sign of compartment syndrome. The pain is disproportionate to the injury and does not respond to usual pain management, indicating increased pressure within the compartment.
C. Absence of pain in the affected extremity: Absence of pain is not a symptom of compartment syndrome. In fact, severe pain is one of the primary symptoms, along with other signs like swelling and decreased sensation.
D. Increased pain in the affected extremity upon ambulation: While pain with movement can occur with many conditions, in compartment syndrome, the severe pain typically occurs regardless of movement and is related to the pressure within the muscle compartment, not just with ambulation.

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The nurse is providing education about the warning signs of stroke to a nursing student. Which information would be appropriate for the nurse to include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing lab values for a patient taking furosemide. Which of these lab values would concern the nurse?

Correct Answer is C

Explanation

The nurse is caring for a patient with a blunt trauma and tissue injury to the lower extremity. Which signs could develop in a patient with compartment syndrome?

Correct Answer is B

Explanation

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