100% VERIFIED ANSWERS
\.A client who experienced a thrombotic stroke and has residual hemiparesis of
the right side is undergoing rehabilitation. the nurse caring for this client
reinforces occupational therapy recommendations bu placing items for personal
hygiene:
1. On the overbed table on the right side
2. On the overbed table on the left side
3. one foot away from the bed on the right side
4. one foot away from the bed on the left side - ANSWERS✔-2
\.The nurse reads in an admission note that the physical examination of a client
revealed an impairment of cranial nerve II. the nurse instructs ancillary caregivers
to do which of the following when caring for this client
1. whisper to the client
2. serve food at room temperature
3. clear the clients path of obstacles
4. report difficulty swallowing - ANSWERS✔-3
\.TIAs are:
1. unilateral neurologic deficits that slowly resolve
, 2. generalized neurologic deficits that occur a few seconds every hour
3. focal neurologic deficits that develop suddenly, last more than an hour, and
clear without evidence of infarct
4. neurologic deficits that slowly evolve or develop - ANSWERS✔-3
\.The nurse planning care for a client who suffered a CVA with residual dysphagia
would write on the care plan to avoid doing which of the following during meals
1. feed the client slowly
2. give the client frequent liquids
3. give foods with a consistency of oatmeal
4. place food on the unaffected side of the mouth - ANSWERS✔-2
\.An unconscious client who is receiving continuous internal feedings has a
sudden onset of adventitious breath sounds. which of the following nursing
diagnoses is a priority for the client
1. risk for aspiration
2. risk for fluid volume overload
3. risk for imbalanced nutrition: less than body requirements
4. risk for electrolyte imbalance - ANSWERS✔-1
\.A nurse is caring for a client who just experienced a seizure. while doing follow
up documentation the nurse would include which of the following items in the
nursing progress note?
1. amount of lighting in room when seizure began
2. client experiences of unusual sounds of smells prior to the seizure