NUR_2755_NUR2755_MDC_4_Exam_1_Review_Multidimensional_Care_IV_Review

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A client had an embolic stroke and is having an echocardiogram. When the client asks why the provider ordered "a test on my heart," how should the nurse respond? a. "Most of these types of blood clo... ts come from the heart." b. "Some of the blood clots may have gone to your heart too." c. "We need to see if your heart is strong enough for therapy." d. "Your heart may have been damaged in the stroke too." - a. "Most of these types of blood clots come from the heart." An embolic stroke is caused when blood clots travel from one area of the body to the brain. The most common source of the clots is the heart. The other statements are inaccurate. 2. A nurse is assessing an adult patient in an inpatient unit. The patient states, "I came into the emergency department because I was experiencing numbness in my feet. On the way to the hospital, it got worse and went up my legs and I couldn't move them." What disease of the peripheral nervous system is the patient experiencing? - Guillain-Barré syndrome 3. Which of the following techniques are necessary for safely feeding a hemiplegic patient? (Select all that apply.) a. Mixing liquids and solid foods together b. Taking the patients dentures out to prevent choking c. Checking the affected side of mouth for food accumulation d. Offering small bites of food e. Elevating the patient to no more than 30 degrees f. Adding a thickening agent to liquids - c. Checking the affected side of mouth for food accumulation d. Offering small bites of food f. Adding a thickening agent to liquids 4. Which foods should the person who suffers from migraine headaches avoid? (Select all that apply.) a. Yogurt b. Caffeine c. Beef d. Pears e. Marinated foods f. Milk - a. Yogurt b. Caffeine e. Marinated foods 5. What is the first sign of Bell’s palsy? a. Inability to wrinkle forehead and pucker lips on affected side b. Sudden pain in nostril on affected side c. Excessive salivation on the affected side d. Excessive mucus running from nostril on affected side - a. Inability to wrinkle forehead and pucker lips on affected side 6. A patient has recently suffered a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely? a. Use a straw b. Tuck chin when swallowing c. Take a sip of liquid with each bit [Show More]

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