A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

Hyperkalemia.

Hypocalcemia.

Elevated urea levels.

Elevated white blood cells.

Answer and Explanation

The Correct Answer is A

Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.

Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.

Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.

Elevated white blood cells, choice D, may indicate an infection.

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Correct Answer is C

Explanation

Ischemic. Imaging studies indicate an occlusion partially obstructing the right carotid artery, which may result in reduced blood flow to the brain, leading to ischemia. Ischemic stroke is caused by a blocked or narrowed artery that supplies blood to the brain.

Option A: Right-sided and Option B: Left-sided are not correct answers as they refer to the location of the stroke, which cannot be determined by the information provided in the question.

Option D: Hemorrhagic is not a correct answer as it is caused by bleeding in the brain, not a blocked or narrowed artery.

A. Provide instruction on blood-thinning medication. B. Assess the client for the ability to ambulate independently. C. Include the client in planning care and setting goals. D. Praise the client when using adaptive equipment.

Correct Answer is B

Explanation

Assess the client for the ability to ambulate independently. The highest priority nursing intervention for a client admitted to a neurologic rehabilitation unit following a cerebrovascular accident is to assess the client's ability to ambulate independently. This assessment will help the nurse determine the level of assistance required and develop an appropriate care plan.

Option A. Providing instruction on blood-thinning medication is not the highest priority as it can be done later when the client's ambulation status is stable.

Option C. Including the client in the planning of care and setting of goals is important but not the highest priority in this situation as it can be done after assessing the client's ambulation status.

Option D. Praise the client when using adaptive equipment, is not the highest priority as the client's ambulation status is more important at this point.

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A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an occlusion partially obstructing the right carotid artery. What type of stroke does the nurse know the client has?

Correct Answer is C

Explanation

The nurse is planning care for a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of the highest priority?

Correct Answer is B

Explanation

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