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

Atrial fibrillation.

Hypertension.

Diabetes.

Alcohol abuse.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct answer because atrial fibrillation is the risk factor that puts the client at
the highest risk for embolic stroke. Atrial fibrillation is an irregular and rapid heart rate that causes poor blood flow and blood pooling in the heart chambers. This can lead to the formation of blood clots that can travel to the brain and block an artery, causing an embolic stroke.

Choice B reason: This is incorrect because hypertension is not the risk factor that puts the client at
the highest risk for embolic stroke. Hypertension is high blood pressure that puts stress on the blood vessels and increases the risk of bleeding or rupture. This can lead to a hemorrhagic stroke, but not an embolic stroke.

Choice C reason: This is incorrect because diabetes is not the risk factor that puts the client at
the highest risk for embolic stroke. Diabetes is a condition that causes high blood sugar levels and damages the blood vessels and nerves. This can lead to poor circulation and increased risk of infection and ulcers, but not an embolic stroke.

Choice D reason: This is incorrect because alcohol abuse is not the risk factor that puts the client at
the highest risk for embolic stroke. Alcohol abuse is excessive consumption of alcohol that affects liver function and blood clotting factors. This can lead to liver disease and bleeding disorders, but not an embolic stroke.

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Correct Answer is B

Explanation

Choice A Reason: An antifungal cream is not indicated for a sty, which is an infection of the eyelash follicle or sebaceous gland caused by bacteria.

Choice B Reason: This is the correct answer because warm compresses can help relieve pain and inflammation, and promote drainage of the sty.

Choice C Reason: Ice and cold compresses are not recommended for a sty, as they can constrict blood vessels and delay healing.

Choice D Reason: There is no need to test the other eye for vision loss, as a sty does not affect vision unless it is very large or obstructs the pupil.

A. Increase her voice when speaking to the client B. Lower the bed rails before lowering the bed C. Use hand gestures to point to where the client will walk D. Stand slightly in front and to one side of the client

Correct Answer is D

Explanation

Choice A reason: This is incorrect because increasing her voice when speaking to the client may not prevent complications, but rather annoy or offend the client. The nurse should not assume that a client with a visual impairment has a hearing impairment as well unless it is confirmed by assessment or history. The nurse should speak in a normal tone and volume and identify herself by name and role.
Choice B reason: This is incorrect because lowering the bed rails before lowering the bed may increase the risk of complications, such as falls or injuries. The nurse should keep the bed rails up until the client is ready to get out of bed and lower them only when necessary. The nurse should also lock the wheels of the bed and adjust it to a comfortable height for the client.
Choice C reason: This is incorrect because using hand gestures to point to where the client will walk may not prevent complications, but rather confuse or frustrate the client. The nurse should not use visual cues or gestures that are meaningless to a client with a visual impairment. The nurse should use verbal directions and descriptions instead, such as "The restroom is on your left, about 10 steps away."
Choice D reason: This is correct because standing slightly in front and to one side of the client can prevent complications, such as collisions or falls. The nurse should guide the client by offering her arm or shoulder for support and walking slightly ahead of him or her. The nurse should also warn the client about any obstacles or changes in terrain, such as stairs, doors, or rugs.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with a sty of the eye asks what can be done for treatment. Which of the following options will the nurse provide to the client?

Correct Answer is B

Explanation

A nurse is assisting a client with a visual impairment to use the restroom. Which of the following actions will the nurse take to prevent complications?

Correct Answer is D

Explanation

A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client? (Select all that apply.)

A patient who is unconscious after a head injury has cerebral edema. Which nursing intervention will be included in the plan of care?

A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?

A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?

A patient who is unconscious after a head injury has cerebral edema. Which nursing intervention will be included in the plan of care?

A client arrives to the emergency department after falling from a ladder. The client has a loss of sensation and flaccid paralysis. Which of the following complications of an acute spinal cord injury does the nurse suspect?

A nurse is assessing a client who has suffered a traumatic brain injury. When the nurse applies a stimuli to the client, which of the following responses by the client indicates that the client has suffered an extensive cervical spine injury?

When performing an assessment, the nurse observes for bilateral equality. After performing a neurological assessment, which of the following will the nurse document when assessment findings indicate that there is left facial droop?