You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.
Pain.
Incontinence.
Impaired verbal communication.
Impaired swallowing.
Self-care deficit.
Correct Answer : B,C,D,E
"Impaired verbal communication," "Impaired swallowing," and "Self-care deficit." These are all potential nursing diagnoses for a client who has suffered a cerebral vascular accident. Pain may not be a priority nursing diagnosis in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is characterized by patches of redness covered with silvery scales. Psoriasis is a chronic autoimmune disorder that causes patches of red, inflamed skin covered with silvery scales.
Choice A, It is a chronic, infectious inflammatory disease is incorrect as psoriasis is not caused by an infection.
Choice C, A cure is possible with prompt treatment is incorrect as there is no cure for psoriasis, but symptoms can be managed with treatment.
Choice D, The onset typically occurs in young children is incorrect as psoriasis can occur at any age.
Correct Answer is A
Explanation
Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.
B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.
C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.
D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.
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