A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?

“Managing my cholesterol will reduce my chances of having a stroke.”

“My blood pressure needs to stay a little elevated for good blood flow to my brain.”

“Using oral contraceptives provides me with protection from a stroke.”

“I can safely have up to 3 alcoholic drinks a day.”

Answer and Explanation

The Correct Answer is A

a. “Managing my cholesterol will reduce my chances of having a stroke.”: High cholesterol is a risk factor for stroke, and managing it can help reduce the risk.

b. “My blood pressure needs to stay a little elevated for good blood flow to my brain.”:

Maintaining normal blood pressure is essential for preventing stroke, and elevated blood pressure is a risk factor for stroke.

c. “Using oral contraceptives provides me with protection from a stroke.”: Oral contraceptives, especially in the presence of other risk factors, can increase the risk of stroke.

d. “I can safely have up to 3 alcoholic drinks a day.”: Excessive alcohol consumption is a risk factor for stroke, and moderation is advised to reduce the risk.

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Correct Answer is D

Explanation

a. Heart rate 90/min: A heart rate of 90/min is within the normal range, and it is not an abnormal finding postoperatively.

b. Serum potassium 3.7 g/dL: The serum potassium level of 3.7 g/dL is within the normal range, and it is not an abnormal finding postoperatively.

c. Bowel sounds 10/min: Bowel sounds of 10/min are within the normal range and indicate return of bowel function postoperatively.

d. Urine output 48 m/2 hr: A urine output of 48 m/2 hr is less than the expected urine output (30 mL/hr), and it may indicate inadequate renal perfusion or function. This finding should be

reported to the provider.

A. Increasing dyspnea B. Dry cough C. Facial flushing D. Decreasing respiratory rate

Correct Answer is A

Explanation

a. Increasing dyspnea: Atelectasis is the collapse of alveoli, leading to decreased lung volume and impaired gas exchange. Dyspnea (difficulty breathing) is a common symptom as the lung's ability to oxygenate the blood is compromised.

b. Dry cough: A dry cough may be present, but it is not specific to atelectasis. It can occur for various reasons postoperatively.

c. Facial flushing: Facial flushing is not a typical finding in atelectasis. It is more commonly associated with conditions such as fever or allergic reactions.

d. Decreasing respiratory rate: Atelectasis can lead to increased respiratory rate as the body tries to compensate for decreased lung function. A decreasing respiratory rate would be less likely in the presence of atelectasis.

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A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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