A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Call 9-1-1.

Determine if the client has a history of migraine headaches.

Give the client a dose of acetaminophen.

Assure the client the symptoms will resolve within 24 hours.

None of the above.

Answer and Explanation

The Correct Answer is A

Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.

Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.

Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.

Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: This is a correct answer because Alzheimer's disease affects the brain cells and causes them to degenerate and die. This leads to a gradual decline in cognitive abilities, such as memory, language, reasoning, and problem-solving.

Choice B reason: This is a correct answer because Alzheimer's disease interferes with the daily activities and routines of the affected person. They may experience a decline from their previous level of functioning, such as forgetting appointments, misplacing items, or getting lost.

Choice C reason: This is an incorrect answer because easily frustrated is not a specific outcome of the early stage of Alzheimer's disease. Although some people with Alzheimer's disease may become frustrated, irritated, or angry due to their cognitive impairment, this is not a universal or diagnostic symptom.

Choice D reason: This is a correct answer because Alzheimer's disease affects the short-term memory first, causing the person to forget recent events, conversations, or names. This is called mild memory loss, and it is one of the most common signs of the early stage of Alzheimer's disease.

Choice E reason: This is a correct answer because Alzheimer's disease affects the frontal lobe of the brain, which is responsible for executive functions, such as planning, organizing, decision-making, and judgement. This leads to impaired judgement, such as making poor financial choices, neglecting personal hygiene, or acting inappropriately.

A. Type 2 diabetes is the result of the failure of the pancreas to produce insulin. B. The incidence of diabetes mellitus does not increase with age. C. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL. D. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.

Correct Answer is C

Explanation

Choice A reason: This statement is false, as type 2 diabetes is not the result of the failure of the pancreas to produce insulin, but rather the result of the reduced sensitivity of the cells to insulin, which leads to high blood sugar levels. The pancreas may still produce some insulin, but not enough to meet the body's needs.

Choice B reason: This statement is false, as the incidence of diabetes mellitus does increase with age, due to various factors, such as decreased physical activity, increased weight, reduced muscle mass, or impaired insulin secretion or action.

Choice C reason: This statement is true, as diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL, according to the American Diabetes Association. Fasting plasma glucose is the blood sugar level measured after at least eight hours of fasting.

Choice D reason: This statement is false, as non-insulin-dependent diabetes mellitus is another name for type 2 diabetes, not type 1 diabetes. Type 1 diabetes is also known as insulin-dependent diabetes mellitus, as it requires insulin injections or pumps to control the blood sugar levels.

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A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult is diagnosed to be in the early stage of Alzheimer's disease. The diagnosis is made on the presence of which of the following outcomes? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

Which of the following statements is true about diabetes mellitus?

Correct Answer is C

Explanation

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