Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)
Q:l Thel nursel isl caringl forl al patientl withl aphasia.l Whichl ofl thel followingl strategiesl
willl thel nursel usel tol facilitatel communicationl withl thel patient?
l a)l Speakingl inl completel sentences
l l b)l Speakingl loudly
l l c)l Avoidingl thel usel ofl handl gestures
l l d)l Establishingl eyel contact
Answer:
Establishingl eyel contactl
Thel followingl strategiesl shouldl bel usedl byl thel nursel tol encouragel communicationl withl
al patientl withl aphasia:l facel thel patientl andl establishl eyel contact,l speakl inl yourl usuall
mannerl andl tone,l usel shortl phrases,l andl pausel betweenl phrasesl tol allowl thel patientl
timel tol understandl whatl isl beingl said;l limitl conversationl tol practicall andl concretel
matters;l usel gestures,l pictures,l objects,l andl writing;l andl asl thel patientl usesl andl handlesl
anl object,l sayl whatl thel objectl is.l Itl helpsl tol matchl thel wordsl withl thel objectl orl
action,l bel consistentl inl usingl thel samel wordsl andl gesturesl eachl timel youl givel
instructionsl orl askl al question,l andl keepl extraneousl noisesl andl soundsl tol al minimum.l
Tool muchl backgroundl noisel canl distractl thel patientl orl makel itl difficultl tol sortl outl thel
messagel beingl spoken.l (less)
Q:l Whilel providingl informationl tol al communityl group,l thel nursel tellsl theml thel
primaryl initiall symptomsl ofl al hemorrhagicl strokel are:
l a)l Footdropl andl externall hipl rotation
l l b)l Severel headachel andl earlyl changel inl levell ofl consciousness
l l c)l Weaknessl onl onel sidel ofl thel bodyl andl difficultyl withl speech
l l d)l Confusionl orl changel inl mentall status
Answer:
Severel headachel andl earlyl changel inl levell ofl consciousnessl
,Thel mainl presentingl symptomsl forl ischemicl strokel arel numbnessl orl weaknessl ofl thel
face,l arm,l orl leg,l especiallyl onl onel sidel ofl thel body,l confusionl orl changel inl mentall
status,l andl troublel speakingl orl understandingl speech.l Severel headache,l vomiting,l earlyl
changel inl levell ofl consciousness,l andl seizuresl arel earlyl signsl ofl al hemorrhagicl stroke.l
Footdropl andl externall hipl rotationl canl occurl ifl al strokel victiml isl notl turnedl orl
positionedl correctly.l (less)
Q:l Al clientl isl admittedl withl weakness,l expressivel aphasia,l andl rightl hemianopia.l Thel
brainl MRIl revealsl anl infarct.l Thel nursel understandsl thesel symptomsl tol bel suggestivel
ofl whichl ofl thel followingl findings?
l a)l Left-sidedl cerebrovascularl accidentl (CVA)
l l b)l Right-sidedl cerebrovascularl accidentl (CVA)
l l c)l Transientl ischemicl attackl (TIA)
l l d)l Completedl Stroke
Answer:
Left-sidedl cerebrovascularl accidentl (CVA)l
Whenl thel infarctl isl onl thel leftl sidel ofl thel brain,l thel symptomsl arel likelyl tol bel onl thel
right,l andl thel speechl isl morel likelyl tol bel involved.l Ifl thel MRIl revealsl anl infarct,l TIAl
isl nol longerl thel diagnosis.l Therel isl notl enoughl informationl tol determinel ifl thel strokel
isl stilll evolvingl orl isl complete.
Q:l Al nursel isl caringl forl al clientl whol hasl returnedl tol hisl rooml afterl al carotidl
endarterectomy.l Whichl actionl shouldl thel nursel takel first?
l a)l Takel thel client'sl bloodl pressure.
l l b)l Askl thel clientl ifl hel hasl al headache.
l l c)l Askl thel clientl ifl hel hasl troublel breathing.
l l d)l Placel antiembolisml stockingsl onl thel client.
Answer:
Askl thel clientl ifl hel hasl troublel breathing.l
Thel nursel shouldl firstl assessl thel client'sl breathing.l Al complicationl ofl al carotidl
endarterectomyl isl anl incisionall hematoma,l whichl couldl compressl thel tracheal causingl
,breathingl difficultyl forl thel client.l Althoughl thel otherl measuresl arel importantl actions,l
theyl aren'tl thel nurse'sl topl priority.
Q:l Thel nursel isl caringl forl al patientl withl dysphagia.l Whichl ofl thel followingl
interventionsl wouldl bel contraindicatedl whilel caringl forl thisl patient?
l a)l Allowingl amplel timel tol eat
l l b)l Assistingl thel patientl withl meals
l l c)l Testingl thel gagl reflexl priorl tol offeringl foodl orl fluids
l l d)l Placingl foodl onl thel affectedl sidel ofl mouth
Answer:
Placingl foodl onl thel affectedl sidel ofl mouthl
Interventionsl forl dysphagial includel placingl foodl onl thel unaffectedl sidel ofl thel mouth,l
allowingl amplel timel tol eat,l assistingl thel patientl withl meals,l andl testingl thel patient'sl
gagl reflexl priorl tol offeringl foodl orl fluids.
Q:l Al 64-year-oldl clientl reportsl symptomsl consistentl withl al transientl ischemicl attackl
(TIA)l tol thel physicianl inl thel emergencyl department.l Afterl completingl orderedl
diagnosticl tests,l thel physicianl indicatesl tol thel clientl whatl causedl thel symptomsl thatl
broughtl himl tol thel hospital.l Whatl isl thel originl ofl thel client'sl symptoms?
l a)l Hypertension
l l b)l Cardiacl disease
l l c)l Diabetesl insipidus
l l d)l Impairedl cerebrall circulation
Answer:
Impairedl cerebrall circulationl
TIAsl resultl froml impairedl bloodl circulationl inl thel brain,l whichl canl bel causedl byl
atherosclerosisl andl arteriosclerosis,l cardiacl disease,l orl diabetes.l Thel symptomsl ofl al TIAl
arel thel resultl ofl impairedl bloodl circulationl inl thel brain,l whichl mayl havel beenl causedl
byl cardiacl disease.l Thel symptomsl ofl al TIAl arel thel resultl ofl impairedl bloodl circulationl
inl thel brain,l whichl mayl havel beenl causedl byl diabetes.l Thel symptomsl ofl al TIAl arel
thel resultl ofl impairedl bloodl circulationl inl thel brain,l whichl mayl havel beenl causedl byl
hypertension.
, Q:l Al clientl isl admittedl tol thel intensivel carel unitl (ICU)l withl al diagnosisl ofl
cerebrovascularl accidentl (CVA).l Whichl assessmentl byl thel nursel providesl thel mostl
significantl findingl inl differentiatingl betweenl ischemicl andl hemorrhagicl strokes?
l a)l Oropharyngeall suctioningl asl needed.
l l b)l Keppraisl orderedl forl treatmentl ofl focall seizures.
l l c)l Al unitl ofl freshl frozenl plasmal isl infusing.
l l d)l Neurologicall checksl arel orderedl everyl 2l hours.
Answer:
Al unitl ofl freshl frozenl plasmal isl infusing.l
FFPl isl usedinl thel treatmentl ofl clottingl deficienciesl asl seenl withl overl dosel ofl
anticoagulantsl andl wouldl indicatel al hemorrhagicl stroke.l Neurol checksl orderedl everyl 2l
hoursl doesl notl differentiatel betweenl typesl ofl strokes.l Focall seizuresl canl occurl withl anyl
strokel andl wouldl notl differentiate.l Suctioningl isl al nursingl actionl takenl tol maintainl
airwayl andl doesl notl indicatel al specificl typel ofl stroke.
Q:l Thel nursel isl caringl forl al patientl withl aphasia.l Whichl ofl thel followingl strategiesl
willl thel nursel usel tol facilitatel communicationl withl thel patient?
l a)l Avoidingl thel usel ofl handl gestures
l l b)l Establishingl eyel contact
l l c)l Speakingl inl completel sentences
l l d)l Speakingl loudly
Answer:
Establishingl eyel contactl
Thel followingl strategiesl shouldl bel usedl byl thel nursel tol encouragel communicationl withl
al patientl withl aphasia:l facel thel patientl andl establishl eyel contact,l speakl inl yourl usuall
mannerl andl tone,l usel shortl phrases,l andl pausel betweenl phrasesl tol allowl thel patientl
timel tol understandl whatl isl beingl said;l limitl conversationl tol practicall andl concretel
matters;l usel gestures,l pictures,l objects,l andl writing;l andl asl thel patientl usesl andl handlesl
anl object,l sayl whatl thel objectl is.l Itl helpsl tol matchl thel wordsl withl thel objectl orl
action,l bel consistentl inl usingl thel samel wordsl andl gesturesl eachl timel youl givel
instructionsl orl askl al question,l andl keepl extraneousl noisesl andl soundsl tol al minimum.l