Match the characteristics with the type of stroke. Each characteristic is only used one time.

Hypertension primary Cause

Symptoms progress over time

Rapid progression of symptoms

Most common type

Symptoms resolve

Associated with high risk of stroke

Atrial fibrillation primary cause

Type of stroke

a.Transient Ischemic Attack b.Hemorrhagic Stroke c.Ischemic Stroke

Hypertension primary cause b.,Hemorrhagic Stroke

Rapid progression of symptoms

Symptoms resolve

Associated with high risk of stroke

Atrial fibrillation primary cause

Answer and Explanation

The Correct Answer is Hypertension primary cause b.,Hemorrhagic Stroke Symptoms progress over time b,.Hemorrhagic Stroke Rapid progression of symptoms, c.Ischemic Stroke Most common type ,c.Ischemic Stroke Symptoms resolve ,a.Transient Ischemic Attack Associated with high risk of stroke ,a.Transient Ischemic Attack Atrial fibrillation primary cause, c.Ischemic Stroke

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Correct Answer is B

No explanation

A. Identify the underlying cause B. Tell the client that hallucinations are not real C. Speak slowly and clearly D. Request the assistance of physical therapy

Correct Answer is A

Explanation

Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration.

Identifying and treating the cause can help resolve the delirium and prevent further complications.

Tell the client that hallucinations are not real. This is incorrect because it can increase the client's anxiety and confusion. The nurse should acknowledge the client's feelings and perceptions, but not reinforce or argue with them.

Speak slowly and clearly. This is incorrect because it is not the best first action. While speaking slowly and clearly can help communicate with the client, it does not address the root cause of the delirium.

Request the assistance of physical therapy. This is incorrect because it is not relevant to the question. Physical therapy may be helpful for some clients with delirium, but it is not a priority intervention.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who had a rightsided stroke and is exhibiting homonymous hemlanopsia when eating. Which of the following actions should the nurse take?

Correct Answer is B

According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?

Correct Answer is A

Explanation

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

A client is observed with unilateral twitching of facial muscles and repetitive tongue thrusting, with a decrease in level of consciousness. When the nurse reports her findings to the physician, what type of seizure will she indicate she observed?

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 reports visual disturbances followed by debilitating pain, nausea, and light sensitivity. When providing education for this client, what can the nurse include in teaching? Select all that apply (Select All that Apply.)

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

A nurse is assessing a client who has a concussion from a sports injury. Which of the following manifestations should the nurse expect?

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?