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Nur 242 exam 4 Galen College Of Nursing - Question andanswers verified to pass Nur 242 exam 4 The nurse is planning care for an immobilized client who had a stroke with right-sided hemiparesis. Which activity would the nurse include in the plan of care? - correct answer Assist the client t...

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  • October 22, 2024
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  • 2024/2025
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Nur 242 exam 4
The nurse is planning care for an immobilized client who had a stroke with
right-sided hemiparesis. Which activity would the nurse include in the plan of
care? - correct answer ✔Assist the client to perform range-of-motion (ROM)
exercises every 1 to 2 hours


Which is the priority nursing action for a client admitted to the hospital in a
coma after having a stroke? - correct answer ✔Maintain an open airway.


Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke? - correct answer ✔Side-lying


Which nursing action is essential when a client experiences hemianopsia as
the result of a left ischemic stroke? - correct answer ✔Place objects within
the visual field


Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and
that the systolic blood pressure is rising. Which complication would the nurse
plan to address? - correct answer ✔Increased intracranial pressure


The registered nurse (RN) is caring for a client who is currently hospitalized
for a stroke. Which professional management strategy will be most effective
for the RN to improve the safety and quality of client care? - correct answer
✔Delegation


The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose.
Which actions by the hospital management does the Leapfrog Group

,suggest? Select all that apply. One, some, or all responses may be correct. -
correct answer ✔Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.


Which action will the nurse complete when preparing a stroke client for
cerebral imaging with iodine-based contrast dye? - correct answer ✔Ensure
a recent creatinine level has been assessed.


Which behaviors would the nurse include when teaching a family what to
expect from a client who experienced a stroke on the left side of the brain?
Select all that apply. One, some, or all responses may be correct. - correct
answer ✔Slow performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety


When a client has difficulty swallowing after a stroke, which action by the
nurse would be most important in preventing pneumonia? - correct answer
✔Having suction available during meals


A client has had a recent brain attack (cerebrovascular accident/stroke).
Which preventative would the nurse anticipate will be prescribed daily to avoid
straining due to constipation? - correct answer ✔Stool softener


Which intervention would the disaster management team nurse perform for
the survivors of an explosion who developed heat stroke? - correct answer
✔Apply ice packs on the client's scalp

, Which level of care is the nurse providing when preparing to discharge a client
who is learning to walk again after a stroke to a rehabilitation center? - correct
answer ✔tertiary care


Which action by the emergency department nurse is the priority for a client
with heat stroke? - correct answer ✔Assess the airway and breathing


A client who sustains a stroke has a loss of proprioception and fine touch.
Which artery would the nurse suspect is damaged? - correct answer
✔Anterior cerebral


A client has a brain attack (stroke) that involves the right cerebral cortex and
cranial nerves. Which areas of paralysis would the nurse expect to find upon
assessment? Select all that apply. One, some, or all responses may be
correct. - correct answer ✔Left leg
Left arm
Left side of face


Initially after a stroke, the client's pupils are equal and reactive to light. Four
hours later, the nurse identifies that one pupil reacts more slowly than the
other and the client's systolic blood pressure is increasing. For which condition
would the nurse prepare to intervene? - correct answer ✔Increased
intracranial pressure


The nurse observes dorsiflexion of the big toe and fanning of other toes when
the lateral side of a client's foot is stroked. Which finding would the nurse
document? - correct answer ✔Exhibits a positive Babinski sign


The nurse is caring for a client who had a stroke and who has varying moods
ranging from anger to depression to concern about the aphasia, hemiparesis,
and the gavage feedings. Which behavior indicates the client's acceptance of

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