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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Ischemic. Imaging studies indicate an occlusion partially obstructing the right carotid artery, which may result in reduced blood flow to the brain, leading to ischemia. Ischemic stroke is caused by a blocked or narrowed artery that supplies blood to the brain.

Option A: Right-sided and Option B: Left-sided are not correct answers as they refer to the location of the stroke, which cannot be determined by the information provided in the question.

Option D: Hemorrhagic is not a correct answer as it is caused by bleeding in the brain, not a blocked or narrowed artery.

A. Level of consciousness is improving. B. Blood pressure is rising. C. Urine output is increased. D. Hyperpyrexia is resolving.

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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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an occlusion partially obstructing the right carotid artery. What type of stroke does the nurse know the client has?

Correct Answer is C

Explanation

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

Correct Answer is A

Explanation

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