A nurse working on a medical-surgical unit is developing a discharge plan for a client who has left-sided hemiplegia following a stroke. Which of the following actions is the nurse’s priority?
Consult with a case manager about insurance coverage.
Counsel caregivers about respite care options.
Refer the client to a local stroke support group.
Ensure that the client has a referral for physical therapy.
The Correct Answer is D
A. Financial planning is important but not the immediate safety priority.
B. Respite care supports caregivers but does not directly impact client safety or recovery.
C. Support groups assist with long-term coping, not early functional recovery.
D. Physical therapy is essential for a client with hemiplegia to prevent contractures, improve mobility, and promote independence. Early rehabilitation enhances recovery and prevents complications such as deep vein thrombosis and muscle atrophy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}
Explanation
Rationale:
Seizures: The client’s severe hypertension (BP 166/110 mm Hg), proteinuria (3+), and neurological symptoms (headache) place her at high risk for eclampsia, which is characterized by the onset of seizures in a client with preeclampsia.
Placental abruption: Severe preeclampsia increases the risk of placental abruption, which is the premature separation of the placenta from the uterine wall, especially in clients with high blood pressure.
Correct Answer is C
Explanation
A. Normal blood glucose levels support optimal wound healing; hyperglycemia, not euglycemia, delays healing.
B. A normal WBC count indicates no active infection or immune suppression.
C. A BMI of 32 indicates obesity, which is a significant risk factor for postoperative wound infection. Adipose tissue has poor vascularity, impairs oxygenation, and delays collagen synthesis, making infection more likely. Additionally, skin folds can harbor moisture and bacteria.
D. A normal temperature reflects absence of fever and infection.
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