A student nurse is asked by the preceptor to identify which of the assigned clients is at the highest risk for stroke. Which of the clients below, when selected by the student nurse, indicate an understanding of the highest risk factor for stroke?

A client who has been treated for diabetes for 10 years.

A client who has been treated for blood pressure for 4 years.

An AfricanAmerican client

A client treated for atrial fibrillation with clopidogrel (Plavor)

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

A.Correct. Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.

B.Incorrect. Administering pain medication can help relieve the headache temporarily, but it does not address the underlying cause of CSF loss and pressure difference.

C. Incorrect. Darkening the client's room and closing the door can help reduce sensory stimuli that may aggravate the headache, but it does not address the underlying cause of CSF loss and pressure difference.

D. Incorrect. Elevating the head of the bed to 30 can worsen the headache by increasing the pressure difference between the brain and spinal cord, as gravity pulls more CSF away from the brain.

A. A 18 month old child learning how to walk who has a history of febrile seizure. B. A 35year old female who works at a steel mill and who has absence seizures. C. A 18year old highschool graduate who is enrolling in the Army. D. A75 year old female client with osteoporosis and who is on clopidogrel (Plavix) for atrial fibrillation.

Correct Answer is C

No explanation

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A student nurse is asked by the preceptor to identify which of the assigned clients is at the highest risk for stroke. Which of the clients below, when selected by the student nurse, indicate an understanding of the highest risk factor for stroke?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

Correct Answer is A

Explanation

Which of the following clients is most at risk for traumatic brain injury?

Correct Answer is C

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

A nurse is preparing to administer intravenous mannitol, an osmotic diuretic, to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an Indication of Increased Intracranial pressure (ICP)?

A client newly diagnosed with multiple sclerosis is receiving education about newly prescribed medications from the nurse. Which of the following will be included in the client teaching?

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse Include in the client's plan of care?

A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?