A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA), which resulted in paralysis of his right arm. When the nurse enters the room, he is struggling to put on a shirt, and he curses at the nurse. What is the best response from the nurse?

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Medical Surgical Nursing Neurological Disorders Quizlet Questions

Question 1 of 5

A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA), which resulted in paralysis of his right arm. When the nurse enters the room, he is struggling to put on a shirt, and he curses at the nurse. What is the best response from the nurse?

Correct Answer: C

Rationale: Empathy acknowledges frustration, building rapport. A delays, B escalates, D is instructional but not immediate. [Level: Application]

Question 2 of 5

Which finding should the nurse document as primary manifestation of osteoporosis in an older woman?

Correct Answer: A

Rationale: Osteoporosis causes vertebral compression, leading to height loss. B is not typical, C/D are secondary or unrelated. [Level: Comprehension]

Question 3 of 5

The ESR (sedimentation rate) of a client being treated with corticosteroids for rheumatoid arthritis has decreased. Which explanation should the nurse provide the client to explain this change in lab values?

Correct Answer: C

Rationale: Decreased ESR indicates reduced inflammation, suggesting corticosteroid efficacy. D is possible but less definitive. [Level: Application]

Question 4 of 5

A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?

Correct Answer: C

Rationale: High BP in ischemic stroke is initially tolerated; aggressive lowering (labetalol) risks reducing cerebral perfusion pre-tPA. Others are standard. [Level: Analysis]

Question 5 of 5

A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider?

Correct Answer: D

Rationale: Warfarin increases bleeding risk in hemorrhage, critical to manage. Others are expected or less urgent. [Level: Analysis]

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