STUVIA 2024/2025
Medsurg EAQ Exam 4
mashed potatoes - ✔✔Which food would be included in the diet for a patient who had a stroke and
has dysphagia?
perform passive ROM exercises to flaccid extremities - ✔✔which intervention would the nurse
delegate to the UAP when working with a patient who had a stroke?
the patient will demonstrate alternative communication techniques - ✔✔which expected outcome
would be included in the plan of care for a patient who had a stroke and is experiencing residual
expressive aphasia?
remove clutter and obstacles - ✔✔which action would be beneficial to a patient with a right-brain
stroke?
current use of high-dose contraceptives
hx of migraine headaches with aura - ✔✔which aspects of the medical hx of a female pt. are risk
factors for a stroke?
checking for stool impaction - ✔✔which nursing intervention would be included in the plan of care for
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a patient who is admitted with a stroke and is complaining about having liquid stools?
treat this as an emergency and call the health care provider - ✔✔a nurse is measuring the BP of a
hypertensive obese pt. who has been admitted to the hospital for increased blood glucose levels.
while he or she is speaking, the nurse notes that the pt. has suddenly started mumbling and is unable
to articulate words. which action would the nurse take?
cut up the meat for the pt. - ✔✔which action can the nurse delegate to the UAP to reduce fatigue for
a pt. recovering from a stroke at mealtimes?
alternate the pts. positioning between supine and side-lying - ✔✔a pt. has left-sided hemiplegia
following an ischemic stroke that was experienced 4 days earlier. how would the nurse best promote
the health of the pts. integumentary system?
grilled chicken
veggie soups - ✔✔which food items would be included in the diet plan for a pt. being discharged
from the hospital after recovering from a stroke?
ask simple yes-and-no questions - ✔✔during the acute stage of a stroke, which intervention would
be included in the plan of care for a pt. experiencing aphasia?
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, STUVIA 2024/2025
the patient's motor skills can be improved - ✔✔which rationale is accurate for why the use of video
games would be included in the plan of care for a pt. who sustained a stroke?
impulsive and impatient - ✔✔which behavior would be exhibited by a pt. who has suffered a
right-brain stroke?
it is not safe to allow you to have anything by mouth until a swallow assessment can be performed -
✔✔a nurse is admitting a pt. with a thrombotic stroke. the pt. is NPO but is requesting a drink of
water. which response by a nurse is appropriate?
it is a pain medication and an anti platelet agent
it may cause bleeding, which should be reported immediately - ✔✔which information would be given
to the pt. with a hx of transient ischemic attacks and has been prescribed aspirin?
high fowler's position - ✔✔when feeding a pt. with a stroke on the left side, in which position would
the nurse place the pt.?
applying emollients to dry skin
using pillows under LE - ✔✔which nursing interventions would be included in the plan of care to
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prevent skin breakdown in a pt. who had a stroke? select all that apply
Measure and record urine output
Perform passive and active range-of-motion exercises - ✔✔A nurse is delegating responsibilities to
unlicensed assistive personnel for caring for a patient who has suffered from a stroke this morning.
What responsibilities will the nurse assign?
promote exercises
provide hand splints - ✔✔which interventions would the nurse take for a pt. who has been diagnosed
with a stroke and is complaining of difficulty in movement of the joints? select all that apply
"I need to keep in close contact with my health care provider because I need frequent blood tests to
adjust the medication dose." - ✔✔the nurse is providing education on the drug clopidogrel for a pt.
who experienced a TIA. which pt. statement indicates a need for further teaching?
using emollients on the skin
providing good skin care and hygiene
using a special mattress for pressure relief - ✔✔which interventions would be included in the plan of
care to prevent skin breakdown in a pt. with paralysis due to a stroke?
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, STUVIA 2024/2025
use simple, short sentences accompanied by visual cues to enhance comprehension - ✔✔which
intervention would the nurse take when communicating with a pt. suffering from aphasia following a
stroke?
provide good lighting
break tasks into simple steps
provide nonslip socks at all times - ✔✔which nursing interventions would assist the patient who had
a right-brain stoke in coping with perceptual deficits?
encouraging independent exercises - ✔✔which nursing intervention would the nurse include in the
plan of care for a pt. with hemorrhagic stroke who is having neuromuscular and cognitive impairment?
distract the pt - ✔✔a pt. who experienced a stroke on the left side of the brain suddenly begins to cry
while playing a card game. which action would the nurse take?
it is helpful in identifying the likely causes of stroke
it helps to differentiate btwn a stroke and any other brain lesion - ✔✔which info would be included
when explaining to the relatives of a pt. suspected of having a stroke about the importance of
undergoing MRI?
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it helps to evaluate recovery
it helps to assess the effectiveness of treatment - ✔✔a pt. is scheduled for a serial CT scan after a
stroke. which rationales would the nurse give the pt. and the pts relatives about this procedure?
Encourage adequate fluid intake
Observe for signs of restlessness
Assess bladder distention by palpation - ✔✔which interventions would the nurse include in the
bladder retaining program of a pt. who had a stroke?
ensure patent airway - ✔✔the nurse assesses a pt. experiencing visual disturbances, difficulty
swallowing, and decreased LOC with a BP of 280/180 mm Hg. Which action by the nurse is a
priority?
utilizing touch - ✔✔which action would help a nurse to communicate better with a stroke pt. with
aphasia?
smoking cessation decreases risk of a stroke
HTN is the most important modifiable stroke risk factor
diabetes increases the risk of stroke - ✔✔which information would the nurse give a pt. who had a
TIA and is being discharged home?
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