A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history put the client at the highest risk for embolic stroke?

Diabetes

Anemia

Hypertension

Mitral valve replacement

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

A. A GCS score of 3 for eye opening indicates that the client opens their eyes in response to speech. This accurately reflects the client's level of responsiveness.

B. A GCS score of 5 for motor response indicates that the client localizes pain or can follow simple motor commands. However, this does not fully encapsulate the most appropriate conclusion, given the specific GCS score for eye opening.

C. A total GCS score of 13 (3 for eye opening, 5 for verbal response, and 5 for motor response) suggests mild impairment, not unconsciousness. Unconsciousness is typically indicated by a GCS score of 8 or below.

D. A GCS score of 5 for verbal response indicates the client is oriented and can respond verbally, so they are capable of making vocal sounds.

A. Hypertension primary cause b.,Hemorrhagic Stroke B. Rapid progression of symptoms C. Symptoms resolve D. Associated with high risk of stroke E. Atrial fibrillation primary cause

Correct Answer is Hypertension primary cause b.,Hemorrhagic Stroke Symptoms progress over time b,.Hemorrhagic Stroke Rapid progression of symptoms, c.Ischemic Stroke Most common type ,c.Ischemic Stroke Symptoms resolve ,a.Transient Ischemic Attack Associated with high risk of stroke ,a.Transient Ischemic Attack Atrial fibrillation primary cause, c.Ischemic Stroke

No explanation

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A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history put the client at the highest risk for embolic stroke?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

Correct Answer is A

Explanation

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