NCLEX Review

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Chapter 19

NCLEX Review

This activity contains 10 questions.

An elderly client is being admitted to the ICU with the diagnosis of a stroke. The nurse realizes that based upon this client's age, the most likely causes of the condition would be:

Hypertension.Thrombosis.Post myocardial infarction.Pneumonia.Decreased cardiac output.Intracranial hemorrhage.

A client is an emergency admission for treatment of stroke symptoms. Why is this an emergency?

To restore the health of the neurons in the central zoneTo stabilize the neurons in the lateral zoneTo restore the health of the neurons in the penumbraTo enlarge the core of affected neurons

A client is concerned that he will develop a stroke because his father did at an early age. Which of the following could the nurse instruct this client to modify in order to help reduce this client's risk factors for stroke?

Take an aspirin a day.Increase physical activity.Stop smoking.Keep blood pressure as low as possible.Avoid stress.Increase consumption of green leafy vegetables.

A client, admitted with a hemorrhagic stroke is being intubated. Which of the following might have played a role in the development of this client's stroke?

History of atrial fibrillationHip replacement 6 months priorTreatment for uncontrolled hypertensionStopped smoking 5 years agoUses the exercise bike three times a week for 1 hour each timeCoumadin 5 mg every evening for 5 years

After completing the assessment of a client with a new onset of stroke, nursing diagnoses will be determined. Which of the following nursing diagnoses should have the highest priority for this client?

Altered thought processesAltered cerebral perfusionPainImpaired blood flow

A client in the ICU, after having an cerebral aneurysm clipped, is demonstrating symptoms of cerebral vasospasm. Which of the following would be indicated for this client?

Restrict oral fluidsMedicate for increasing blood pressureAdminister beta blockersStimulate the cough reflexReduce intravenous fluidsIncrease fluids

The nurse is creating a plan of care for a client with a stroke. In order to reduce the complication of a DVT, which of the following should be included in this plan of care?

Apply elastic support hose.Monitor urine output.Apply wrist restraints.Monitor intake.

The nurse is concerned that a client who has sustained a stroke will develop contractures. Which of the following can be done to avoid this complication?

Use tennis shoes when in the hyperreflexic stage of recovery.Use the affected limbs to pull the client into different positions.Conduct passive ROM to lower extremities every 4 hours.Turn the client on the affected side, resting on the shoulder.

The nurse is concerned a client recovering from a stroke is developing nutritional problems because:

Increased bowel sounds.Client is able to hold utensils for eating.Request for the same type of food every day.Coughing when eating.

	Within the question text below, there is one text entry field where you can enter your answer. The nurse is instructing a group of nurses about the modifiable and nonmodifiable risk factors for the development of a stroke. List the nonmodifiable risk factors that this nurse should include:

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NCLEX Review

An elderly client is being admitted to the ICU with the diagnosis of a stroke. The nurse realizes that based upon this client's age, the most likely causes of the condition would be:

A client is an emergency admission for treatment of stroke symptoms. Why is this an emergency?

A client is concerned that he will develop a stroke because his father did at an early age. Which of the following could the nurse instruct this client to modify in order to help reduce this client's risk factors for stroke?

A client, admitted with a hemorrhagic stroke is being intubated. Which of the following might have played a role in the development of this client's stroke?

After completing the assessment of a client with a new onset of stroke, nursing diagnoses will be determined. Which of the following nursing diagnoses should have the highest priority for this client?

A client in the ICU, after having an cerebral aneurysm clipped, is demonstrating symptoms of cerebral vasospasm. Which of the following would be indicated for this client?

The nurse is creating a plan of care for a client with a stroke. In order to reduce the complication of a DVT, which of the following should be included in this plan of care?

The nurse is concerned that a client who has sustained a stroke will develop contractures. Which of the following can be done to avoid this complication?

The nurse is concerned a client recovering from a stroke is developing nutritional problems because:

Within the question text below, there is one text entry field where you can enter your answer.