Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?

Position the client in semi-Fowler’s for optimal respiratory function

Put the client in mild Trendelenburg position to decrease hypertension

Place the client flat for 24 hours to decrease cerebral ischemia

Raise the head of the bed 30 degrees for cerebral perfusion

Answer and Explanation

The Correct Answer is D

Choice A reason: Semi-Fowler’s aids breathing but doesn’t optimize cerebral blood flow, critical in ischemic stroke to perfuse brain tissue, less urgent than perfusion.

Choice B reason: Trendelenburg lowers the head, risking increased intracranial pressure in stroke, not reducing hypertension effectively, contraindicated for cerebral ischemia.

Choice C reason: Flat positioning may increase intracranial pressure, worsening ischemia; elevation enhances perfusion, so keeping flat isn’t the priority intervention.

Choice D reason: Raising the head 30 degrees improves cerebral perfusion by balancing blood flow and reducing pressure, the priority to minimize ischemic damage.

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Correct Answer is A

Explanation

Choice A reason: Albuterol, a bronchodilator, rapidly opens airways in COPD, relieving acute shortness of breath and improving oxygenation from 85% by relaxing bronchial smooth muscle.

Choice B reason: Mucolytics thin mucus over time, not addressing acute dyspnea or low saturation (85%) quickly, lacking the immediacy needed in this scenario.

Choice C reason: Montelukast prevents asthma inflammation long-term via leukotriene blockade, not providing rapid relief for COPD’s acute bronchospasm or hypoxia here.

Choice D reason: Prednisone reduces COPD inflammation systemically, but its slow onset doesn’t acutely reverse shortness of breath or oxygen drop like a bronchodilator.

A. She has stopped speaking to all of us B. She has difficulty using her toothbrush and comb C. She seems forgetful and takes longer to do daily tasks D. She has lost control of her bladder and bowel

Correct Answer is C

Explanation

Choice A reason: Stopping speech entirely suggests advanced Alzheimer’s or aphasia, not mild, where memory and task performance decline first, not communication fully.

Choice B reason: Difficulty with toothbrush and comb indicates moderate Alzheimer’s, where motor apraxia emerges, beyond mild stage’s primary memory issues.

Choice C reason: Forgetfulness and slower task completion reflect mild Alzheimer’s early memory loss and executive dysfunction, impairing planning, consistent with initial stages.

Choice D reason: Bladder and bowel incontinence occur in late Alzheimer’s from severe brain damage, not mild, where cognitive, not physical, decline predominates.

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Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with COPD who develops severe shortness of breath upon walking to the bathroom and oxygen saturation of 85% on room air. Which of the following medications would be a priority to treat these symptoms?

Correct Answer is A

Explanation

Which statement by the family is consistent with mild Alzheimer’s disease?

Correct Answer is C

Explanation

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