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NUR 242 EXAM 4|| NUR 242 MED SURG ALL 300
QUESTIONS AND CORRECT ANSWERS|| LATEST
AND COMPLETE VERSION 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!
The nurse is planning care for an immobilized client who had a stroke with right-
sided hemiparesis. Which activity would the nurse include in the plan of care-
ANSWER: - answer Assist the client to perform range-of-motion (ROM)
exercises every 1 to 2 hours
Which is the priority nursing action for a client admitted to the hospital in a coma
after having a stroke- ANSWER: - answer Maintain an open airway.
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke- ANSWER: - answer Side-lying
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke- ANSWER: - answer Place objects within the
visual field
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that the
systolic blood pressure is rising. Which complication would the nurse plan to
address- ANSWER: - answer Increased intracranial pressure
The registered nurse (RN) is caring for a client who is currently hospitalized for a
stroke. Which professional management strategy will be most effective for the RN
to improve the safety and quality of client care- ANSWER: - answer Delegation
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The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
actions by the hospital management does the Leapfrog Group suggest- ANSWER:
Select all that apply. One, some, or all responses may be correct. - answer
Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Which action will the nurse complete when preparing a stroke client for cerebral
imaging with iodine-based contrast dye- ANSWER: - answer Ensure a recent
creatinine level has been assessed.
Which behaviors would the nurse include when teaching a family what to expect
from a client who experienced a stroke on the left side of the brain- ANSWER:
Select all that apply. One, some, or all responses may be correct. - answer Slow
performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
When a client has difficulty swallowing after a stroke, which action by the nurse
would be most important in preventing pneumonia- ANSWER: - answer Having
suction available during meals
A client has had a recent brain attack (cerebrovascular accident/stroke). Which
preventative would the nurse anticipate will be prescribed daily to avoid straining
due to constipation- ANSWER: - answer Stool softener
Which intervention would the disaster management team nurse perform for the
survivors of an explosion who developed heat stroke- ANSWER: - answer Apply
ice packs on the client's scalp
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Which level of care is the nurse providing when preparing to discharge a client
who is learning to walk again after a stroke to a rehabilitation center- ANSWER: -
answer tertiary care
Which action by the emergency department nurse is the priority for a client with
heat stroke- ANSWER: - answer Assess the airway and breathing
A client who sustains a stroke has a loss of proprioception and fine touch. Which
artery would the nurse suspect is damaged- ANSWER: - answer Anterior cerebral
A client has a brain attack (stroke) that involves the right cerebral cortex and
cranial nerves. Which areas of paralysis would the nurse expect to find upon
assessment- ANSWER: Select all that apply. One, some, or all responses may be
correct. - answer Left leg
Left arm
Left side of face
Initially after a stroke, the client's pupils are equal and reactive to light. Four hours
later, the nurse identifies that one pupil reacts more slowly than the other and the
client's systolic blood pressure is increasing. For which condition would the nurse
prepare to intervene- ANSWER: - answer Increased intracranial pressure
The nurse observes dorsiflexion of the big toe and fanning of other toes when the
lateral side of a client's foot is stroked. Which finding would the nurse document-
ANSWER: - answer Exhibits a positive Babinski sign
The nurse is caring for a client who had a stroke and who has varying moods
ranging from anger to depression to concern about the aphasia, hemiparesis, and
NUR 242 EXAM 4|| NUR 242 MED SURG ALL 300
QUESTIONS AND CORRECT ANSWERS|| LATEST
AND COMPLETE VERSION 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!
The nurse is planning care for an immobilized client who had a stroke with right-
sided hemiparesis. Which activity would the nurse include in the plan of care-
ANSWER: - answer Assist the client to perform range-of-motion (ROM)
exercises every 1 to 2 hours
Which is the priority nursing action for a client admitted to the hospital in a coma
after having a stroke- ANSWER: - answer Maintain an open airway.
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke- ANSWER: - answer Side-lying
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke- ANSWER: - answer Place objects within the
visual field
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that the
systolic blood pressure is rising. Which complication would the nurse plan to
address- ANSWER: - answer Increased intracranial pressure
The registered nurse (RN) is caring for a client who is currently hospitalized for a
stroke. Which professional management strategy will be most effective for the RN
to improve the safety and quality of client care- ANSWER: - answer Delegation
,2|Pag e
The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
actions by the hospital management does the Leapfrog Group suggest- ANSWER:
Select all that apply. One, some, or all responses may be correct. - answer
Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Which action will the nurse complete when preparing a stroke client for cerebral
imaging with iodine-based contrast dye- ANSWER: - answer Ensure a recent
creatinine level has been assessed.
Which behaviors would the nurse include when teaching a family what to expect
from a client who experienced a stroke on the left side of the brain- ANSWER:
Select all that apply. One, some, or all responses may be correct. - answer Slow
performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
When a client has difficulty swallowing after a stroke, which action by the nurse
would be most important in preventing pneumonia- ANSWER: - answer Having
suction available during meals
A client has had a recent brain attack (cerebrovascular accident/stroke). Which
preventative would the nurse anticipate will be prescribed daily to avoid straining
due to constipation- ANSWER: - answer Stool softener
Which intervention would the disaster management team nurse perform for the
survivors of an explosion who developed heat stroke- ANSWER: - answer Apply
ice packs on the client's scalp
, 3|Pag e
Which level of care is the nurse providing when preparing to discharge a client
who is learning to walk again after a stroke to a rehabilitation center- ANSWER: -
answer tertiary care
Which action by the emergency department nurse is the priority for a client with
heat stroke- ANSWER: - answer Assess the airway and breathing
A client who sustains a stroke has a loss of proprioception and fine touch. Which
artery would the nurse suspect is damaged- ANSWER: - answer Anterior cerebral
A client has a brain attack (stroke) that involves the right cerebral cortex and
cranial nerves. Which areas of paralysis would the nurse expect to find upon
assessment- ANSWER: Select all that apply. One, some, or all responses may be
correct. - answer Left leg
Left arm
Left side of face
Initially after a stroke, the client's pupils are equal and reactive to light. Four hours
later, the nurse identifies that one pupil reacts more slowly than the other and the
client's systolic blood pressure is increasing. For which condition would the nurse
prepare to intervene- ANSWER: - answer Increased intracranial pressure
The nurse observes dorsiflexion of the big toe and fanning of other toes when the
lateral side of a client's foot is stroked. Which finding would the nurse document-
ANSWER: - answer Exhibits a positive Babinski sign
The nurse is caring for a client who had a stroke and who has varying moods
ranging from anger to depression to concern about the aphasia, hemiparesis, and
