vSim for Nursing: Fundamentals: Vernon Russell | Questions and Answers(A+ Solution guide)

When taking a patient's health history, which of the following does the nurse identify as risk factors for having a stroke? (Select all that apply.) a) Diabetes Mellitus b) Smoking c) Recent weight loss d) Asthma e) Hypertension - a) Diabetes Mellitus b) Smoking e) Hypertension Explanation: Risk factors for stroke include hypertension, smoking, and diabetes. Obesity, not weight loss, is a risk factor for stroke. Asthma is not a risk factor for stroke. The nurse has an order to complete neurochecks every four hours. Which assessments would the nurse include in the neurological examination? (Select all that apply.) a) Range of motion b) Level of consciousness c) Sensory perception d) Cranial nerves e) Memory - b) Level of consciousness c) Sensory perception d) Cranial nerves e) Memory Explanation: Components of a neurological examination include memory, level of consciousness, sensory perception, cranial nerves, patterns of speech, and bilateral hand grips. Range of motion would be appropriate for a musculoskeletal assessment.The nurse is caring for four medical-surgical patients. Which patient should be assessed using the Glasgow Coma Scale? a) A 47-year-old patient who suffered a brain injury and lost consciousness in a motor vehicle accident. b) A 51-year-old patient with cancer who is experiencing episodes of anxiety and depression. c) An 85-year-old patient with dementia and increasing confusion. d) A 32-year-old patient who is paraplegic and has pneumonia. - a) A 47-year-old patient who suffered a brain injury and lost consciousness in a motor vehicle accident.