:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

1000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side. Client's partner states the client had some difficulty with finding words when speaking. Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain. Which of the following measures should the nurse take?

Answer Choices:

Correct Answer:

Initiate NPO status is anticipated.

Rationale:

🍽️Keeping the client NPO (nothing by mouth) is essential when stroke is suspected due to the high risk for aspiration.

🧠The client's symptoms (aphasia, visual disturbances, unilateral weakness) strongly suggest a neurologic event, such as a stroke.

🗣️Dysphagia is a common early complication that may not be immediately obvious.

📞NPO precautions reduce aspiration risk until a formal swallowing evaluation is completed.

📌core message

Clients with stroke symptoms should be NPO to prevent aspiration until swallowing is assessed.

Want to practice more questions like this?

This question is from RN Adult Medical Surgical Online Practice 2023 A NGN which contains 74 questions.

Start Full Exam View Exam Details
More Questions from This Exam
A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first?

Answer Choices:

A. Administer the blood immediately without checking.
B. Check for the type and number of units of blood to administer.
C. Start an IV line with saline solution.
D. Obtain a blood sample for cross-matching.
E. Don't know?
View Full Question
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest to the client to reduce pain?

Answer Choices:

A. Only use cold packs for pain relief at all times.
B. Avoid all physical activity to prevent pain.
C. Alternate application of heat and cold to the affected joints.
D. Engage in high-impact aerobic exercises daily.
View Full Question
A nurse is caring for a client who has been administered sumatriptan for migraine management. Which of the following findings should the nurse immediately report to the provider?

Answer Choices:

A. Numbness in the extremities
B. Visual disturbances
C. Chest pain
D. Aphasia
View Full Question
A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Which of the following statements by the client indicates an understanding of the teaching?

Answer Choices:

A. "I should increase my time outdoors for better health."
B. "I can go sunbathing to get vitamin D."
C. "I will wear sunscreen only when i feel like it."
D. "I will avoid direct exposure to the sun."
View Full Question
A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?

Answer Choices:

A. Place a pressure bag around the flush solution.
B. Remove the arterial line immediately.
C. Disconnect the arterial line for safety.
D. Increase the flow rate of the flush solution.
View Full Question
View All 74 Questions
From Exam
RN Adult Medical Surgical Online Practice 2023 A NGN

74 Questions

View Full Exam Start Practicing
Question Details
  • Category: LPN Nursing Exams
  • Subcategory: ATI Exams (LPN)
  • Domain: FUNDAMENTALS of Nursing (LPN ati)
  • Answer Choices: 5
Was this question helpful?
0/5 average rating (0 votes)
Share your thoughts
Comments (0)