Hello everyone! I'm a new poster and I'm in need of some assistance. I'm currently working on a take-home study guide and while I have completed most of it, I'm hung up on about nine questions.
If anyone could help me with answering them, I'd really appreciate it. For the record, we are allowed to use any and all online resources to complete the guide. I've bolded the answers I suspect to be correct on the handful of questions I've been able to find a little information about. The questions are as follows:
A rehabilitation nurse is approached by a stroke victim's family and asked why the patient has to do so much for himself when he is obviously struggling. What's the nurses best answer?
A - "We are trying to help your family member be as useful as possible."
B - "The focus on care in a rehabilitation facility is to teach the patient to resume as much self-care as possible."
C - "We aren't here to care for the patient in the way the hospital staff did. We are here to help the patient get better so they can go home."
D - "Rehabilitation means helping the patient do what they did before their stroke."
A nurse caring for a patient who is discharged home after a stroke is preparing patient/family teaching. What topics would be most important for the nurse to include? (MARK ALL THAT APPLY)
A - Stroke Prevention
B - The rehabilitation process
C - Causes of stroke
D - Adequate nutrition
E - Exercise
In genetic and genomic medicine, what do nurses help both individuals and families understand?
A - How genetic and psychological factors influence weekly rituals
B - How genomic and physical factors influence longevity
C - How genetic and environmental factors influence health and disease
D - How physical factors influence genetics and wellness
When caring for a patient who has had a stroke a priority is reduction of intracranial pressure. What position is indicated to assist with this goal?
A - Head turned to the right side
B - Elevation of the head of the bed
C - Head turned to the left side
D - Extension of the neck
While a nurse is taking a patient's history, the patient tells the nurse that she is trying to get pregnant and is very fearful she will have another miscarriage. She states she has lost two pregnancies and she shares with the nurse that she does not know why she lost the babies. Based on this PT's history, what recommendation should the nurse make at the present time?
A - Instruct her to continue to try to get pregnant.
B - Let the patient know that her loss may not occur again
C - Instruct her on chromosome testing studies
D - Tell her to have an amniocentesis with the next pregnancy
When assessing a patient, the nurse notes early signs of increasing ICP. What S/S might the nurse have noted?
A - Increased respiratory effort
B - Increased urinary output
C - Decreased heart rate
D - Decreased blood pressure
A family history that is obtained as a nursing assessment is the first step in what?
A - Establishing the patten of inheritance
B - Establishing a pedigree
C - Answering the patient's genetic questions
D - Answering families' relationship questions
As a member of the stroke team, you know that the contraindications for thrombolytic therapy include what? MARK ALL THAT APPLY
A - INR above 1.0
B - Recent intracranial pathology
C - Symptom onset greater than 2 hours prior to admission
D - Current anticoagulation therapy
E - Symptom onset greater than 3 hours prior to admission
A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in ICP. What nursing intervention would be most appropriate for this patient?
A - Range of motion exercises to prevent contractures
B - Encourage independence with ADLs to promote self-esteem
C - Encourage family visitations to decrease anxiety
D - Absolute bed rest in a quiet nonstimulating environment
Dec 4, '13
Quote from Jenngirl34
For the second one I would have chosen A, D, and E, as he is newly discharged and his rehab, diet, and exercise will be very important and would be included in the instructions to the patient and family.
For number seven I would say A, but B could be right too. A family history is not really a genetic test and a patient's genetic questions could not be answered by the info gathered in a history. For number 6 I would say A
I think that with increasing ICP the blood pressure would actually be expected to increase not decrease, and decreased heart rate is a later sign.
RESOURCES FOR SUPPORT
DISCHARGE INSTRUCTIONS-All of these mandated education by Joint Commission and CMS to be Stroke certified and Reimbursed:
I would go with A,C,D (maybe B)because these are MOST IMPORTANT at this particular time. I do think the other two are important but if you had to pick the most crucial and consequential, those are the ones Id pick.
Try getting in the habit of picking out these keys phrases when answering NCLEX style questions. Like: "..whats the PRIORITY, what would the nurse do FIRST, What is MOST IMPORTANT, ETC....
Last edit by MendedHeart on Dec 4, '13