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Questions 227

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Extract:

An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.


Question 1 of 5

Which assessment finding should the nurse report immediately to the provider?

Correct Answer: A

Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.

Extract:


Question 2 of 5

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

Correct Answer: C

Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms. The other foods are less likely to trigger reflux. Basic Care and Comfort

Question 3 of 5

Which statement made by the parents of a child who has sickle cell anemia indicates understanding of how to reduce the incidence of crises?

Correct Answer: B

Rationale: Adequate hydration prevents blood viscosity, reducing sickle cell crisis risk. Outdoor play is beneficial, aspirin is risky, and travel mode is irrelevant.

Extract:

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)


Question 4 of 5

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:

Correct Answer: C

Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.

Extract:

Which is a characteristic of heart rate in atrial fibrillation (AF)?


Question 5 of 5

Which is a characteristic of heart rate in atrial fibrillation (AF)?

Correct Answer: A

Rationale: Atrial fibrillation causes an irregular ventricular rhythm due to chaotic atrial activity.

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