Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?
Position the client in semi-Fowler’s for optimal respiratory function
Put the client in mild Trendelenburg position to decrease hypertension
Place the client flat for 24 hours to decrease cerebral ischemia
Raise the head of the bed 30 degrees for cerebral perfusion
The Correct Answer is D
Choice A reason: Semi-Fowler’s aids breathing but doesn’t optimize cerebral blood flow, critical in ischemic stroke to perfuse brain tissue, less urgent than perfusion.
Choice B reason: Trendelenburg lowers the head, risking increased intracranial pressure in stroke, not reducing hypertension effectively, contraindicated for cerebral ischemia.
Choice C reason: Flat positioning may increase intracranial pressure, worsening ischemia; elevation enhances perfusion, so keeping flat isn’t the priority intervention.
Choice D reason: Raising the head 30 degrees improves cerebral perfusion by balancing blood flow and reducing pressure, the priority to minimize ischemic damage.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Donepezil treats Alzheimer’s by inhibiting cholinesterase, boosting acetylcholine for cognition. Lupus, an autoimmune disease, doesn’t involve dementia primarily, so this drug lacks relevance to its management.
Choice B reason: Prednisone, a corticosteroid, suppresses inflammation and immune response in lupus, reducing joint pain and organ damage from autoantibody activity, making it a standard treatment.
Choice C reason: Hydroxychloroquine modulates immunity and reduces lupus flares by stabilizing lysosomes and decreasing autoantibody production, directly addressing its autoimmune pathology.
Choice D reason: Methotrexate, an immunosuppressant, inhibits folate metabolism, curbing immune cell proliferation in lupus, effectively managing severe symptoms like arthritis or organ involvement.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Brussel sprouts, goitrogens, inhibit iodine uptake by the thyroid, reducing hormone production in Graves’ disease, countering excess T3/T4 when on iodine supplements.
Choice B reason: Cabbage, a cruciferous vegetable, contains goitrogens that block iodine incorporation into thyroid hormones, helping manage hyperthyroidism’s overactivity with supplements.
Choice C reason: Broccoli’s goitrogenic compounds suppress thyroid function by limiting iodine use, aiding in controlling Graves’ disease’s excessive hormone synthesis during treatment.
Choice D reason: Fish, rich in iodine, boosts thyroid hormone production, worsening Graves’ disease, so it’s avoided when taking iodine supplements to reduce T3/T4 levels.
Choice E reason: Peaches lack significant iodine or goitrogens, having no impact on thyroid function, so they’re not restricted in Graves’ disease management with iodine.
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