What is the term used to describe a condition where the blood flow to the brain is temporarily interrupted, often referred to as a 'mini-stroke'?

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Question 1 of 5

What is the term used to describe a condition where the blood flow to the brain is temporarily interrupted, often referred to as a 'mini-stroke'?

Correct Answer: A

Rationale: The correct answer is A: Transient ischemic attack (TIA). A TIA is a temporary interruption of blood flow to the brain, causing stroke-like symptoms that usually resolve within 24 hours. It is often referred to as a 'mini-stroke' because the symptoms are similar to a stroke but last for a shorter duration. Explanation: 1. TIA specifically describes a temporary interruption of blood flow to the brain, aligning with the scenario described in the question. 2. Stroke (Choice B) refers to a more severe and lasting interruption of blood flow to the brain, not a temporary one as seen in a TIA. 3. Myocardial infarction (Choice C) refers to a heart attack, which involves blockage of blood flow to the heart muscle, not the brain. 4. Pulmonary embolism (Choice D) is a blockage of an artery in the lungs, not related to blood flow interruption to the brain. In summary,

Question 2 of 5

The client asks about side effects of taking digoxin. How does the nurse respond?

Correct Answer: A

Rationale: The correct answer is A: Anorexia can be a side effect of digoxin. Digoxin is known to cause anorexia due to its impact on the gastrointestinal system. It can lead to nausea, vomiting, and loss of appetite, resulting in anorexia. Tachycardia (choice B) is not a common side effect of digoxin, as it is actually used to treat certain types of arrhythmias. Constipation (choice C) and urinary retention (choice D) are also not typically associated with digoxin use. In summary, anorexia is a known side effect of digoxin, while tachycardia, constipation, and urinary retention are not commonly linked to this medication.

Question 3 of 5

The client is on dobutamine. Adverse effects of Dobutrex (dobutamine) include the following: Select all that apply.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Dobutamine is a beta-1 adrenergic agonist, which increases heart rate. 2. Tachycardia is a common adverse effect due to increased heart rate. 3. Bradycardia is the opposite effect and not expected with dobutamine. 4. Heart failure is a condition that dobutamine is used to treat, not cause. 5. Respiratory distress is not a typical adverse effect of dobutamine. Summary: Choice C (Tachycardia) is correct because dobutamine increases heart rate. Choices A, B, and D are incorrect because dobutamine does not cause heart failure, bradycardia, or respiratory distress.

Question 4 of 5

The healthcare provider is monitoring a client receiving lidocaine IV. What side effect is the healthcare provider most concerned about?

Correct Answer: C

Rationale: The correct answer is C: Seizures. Lidocaine is a local anesthetic that can cause central nervous system toxicity, leading to seizures. This is the most concerning side effect because it can be life-threatening. Severe headache (A) is not typically associated with lidocaine toxicity. Nausea and vomiting (B) are common side effects but not the most concerning. Tremors (D) can occur but are not as serious as seizures in this context.

Question 5 of 5

The client on warfarin has an INR of 5.5. What is the priority nursing action?

Correct Answer: A

Rationale: The correct answer is A: Administer vitamin K as an antidote. An INR of 5.5 indicates the client is at risk for bleeding due to excessive anticoagulation from warfarin. Administering vitamin K helps reverse the effects of warfarin and lowers the INR back to the therapeutic range. Holding the next dose of warfarin (B) is important but not the priority over administering the antidote. Increasing the dose of warfarin (C) would worsen the situation. Administering fresh frozen plasma (D) is not a standard treatment for high INR levels due to warfarin.

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