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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Walk to the other side of the bed and try again: The patient may have right-sided neglect due to the stroke, meaning they are not aware of stimuli on the left side. Approaching from the other side where the patient has better perception might help them respond better.
B. Wave a hand in front of the patient's face: This might not be effective and can startle the patient. It does not address the underlying issue of spatial neglect.
C. Speak more loudly and clearly: There is no indication that the patient has hearing loss or language comprehension issues. Speaking louder may not be effective if the patient is experiencing spatial neglect.
D. Use a picture board to explain to the patient what the nurse is going to do: This is a good strategy for communication but does not address the immediate need to reposition to a more effective approach to gain the patient’s attention first.
Correct Answer is B
Explanation
A. Acutely inflamed joints will respond best to heat therapy: Heat can help relieve chronic joint stiffness and pain, but acutely inflamed joints are best treated with cold therapy to reduce inflammation and pain.
B. It is essential to monitor all body systems for effects of the disease: RA is a systemic autoimmune disorder that can affect multiple body systems, including the cardiovascular, respiratory, and integumentary systems, making comprehensive monitoring crucial.
C. Injury and age are the greatest contributors to disease development: RA is not primarily caused by injury or aging. It is an autoimmune condition that can develop at any age, although it is more common in middle age and is influenced by genetic and environmental factors.
D. Exercise is poorly tolerated and frequent rest is needed: While rest is important during flare-ups, regular, gentle exercise is beneficial for maintaining joint function and overall health in RA patients. It helps maintain mobility and reduces joint stiffness.
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