EXAM 3: CVA Questions with Correct Answers

The nurse cares for the client diagnosed with a stroke resulting in paralysis on the right side. The client needs to be transferred from the bed to the wheelchair. What is the correct transfer technique for the nurse to use? CORRECT ANSWER Support the standing client for a minute before moving towards the wheelchair The nurse cares for a client admitted to the medical/surgical unit diagnosed with a stroke. The nurse plans care to prevent the client from experiencing sensory overload. The nurse determines the most effective plan is: CORRECT ANSWER The nurse obtains vital signs and assists the patient with am care in one visit The nurse identified the classic signs of Parkinson's disease as CORRECT ANSWER tremor, bradykinesia, and rigidity The nurse care for the client diagnosed with a left hemisphere stroke. One moment the client is very depressed and crying and the next the client is euphoric and breaks into inappropriate laughter. The nurse should address this behavior by: CORRECT ANSWER explaining to the family that the client's behavior is not intentional Risk factors for intracranial hemorrhage CORRECT ANSWER arteriosclerosis and hypertension Assessment findings with a client diagnosed with Parkinson's disease CORRECT ANSWER shuffling, propulsive gait The nurse identifies a nursing diagnosis of "Altered nutrition d/t right sided hemiplegia. What intervention should the nurse implement to improve nutrition CORRECT ANSWER provide a pureed diet What is the most appropriate nursing intervention to prevent flexion contractures in the client diagnosed with a stroke? CORRECT ANSWER place the client in a prone position for 10 to 15 minutes three or four times a day to promote hyperextension of the hip joints, essential for normal gait