The nurse’s priority action for a client with stroke symptoms?

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Medical Surgical Nursing Neurological Disorders Quizlet Questions

Question 1 of 5

The nurse’s priority action for a client with stroke symptoms?

Correct Answer: D

Rationale: Time of onset (D) determines tPA window.

Question 2 of 5

Nurse finds woman collapsed with right weakness, slurred speech, unconscious. Action?

Correct Answer: B

Rationale: EMS (B) ensures rapid stroke care.

Question 3 of 5

The nurse is to calculate gtt/min to transfuse one unit 160 mL of platelets over one hour using blood tubing that has a drip factor of 15. How many gtt/min?

Correct Answer: A

Rationale: To calculate drip rate (gtt/min): (Volume × Drip Factor) ÷ Time in minutes. Here, Volume = 160 mL, Drip Factor = 15 gtt/mL, Time = 60 min. (160 × 15) ÷ 60 = 2400 ÷ 60 = 40 gtt/min. Choice A is correct.

Question 4 of 5

A 55-year-old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

Correct Answer: C

Rationale: Massive GI bleed causes hypovolemia, leading to pre-renal AKI (C) from reduced renal perfusion.

Question 5 of 5

A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse include as an expected finding of diabetic ketoacidosis (DKA)?

Correct Answer: C

Rationale: DKA causes Kussmaul respirations (rapid, deep, C), not shallow, to compensate for acidosis, unlike other choices.

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