A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?
A change in pupil size
Difficulty speaking
Inability to follow direction
Right-sided weakness
The Correct Answer is A
A change in pupil size can indicate an increase in intracranial pressure, which can lead to a life-threatening situation. The nurse should immediately report this finding to the provider.
Choice B is incorrect because difficulty speaking is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Choice C is incorrect because inability to follow direction is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Choice D is incorrect because right-sided weakness is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Choice B: Difficulty speaking is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Choice C: Inability to follow direction is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Choice D: Right-sided weakness is a common finding in clients who have had a left hemispheric stroke and should be monitored but is not an immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is A
Explanation
The correct answer is choice a. Limit fluid intake during meals.
Choice A rationale:
Limiting fluid intake during meals can help prevent the stomach from becoming too full, which can make breathing more difficult for someone with COPD.
Choice B rationale:
Eliminating dairy products is not typically recommended for COPD patients unless they have a specific intolerance or allergy. Dairy does not generally affect COPD symptoms.
Choice C rationale:
Consuming three regular meals daily might be challenging for COPD patients who often have reduced appetite and may benefit more from smaller, frequent meals.
Choice D rationale:
Eating lighter, low-calorie foods first is not advisable for COPD patients who need nutrient-dense foods to maintain their energy levels and overall health.
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