Medicine College

A nurse is caring for a client who had a suspected stroke? Which of the following actions should the nurse take? (Select all that apply)
1. Make the client NPO.
2.Assess the client's orientation.
3.Check cranial nerves I, II, and V.
4.Inspect the client's muscular symmetry.

Answers

Answer 1

The appropriate actions for the nurse to take when caring for a client with a suspected stroke are make the client NPO, Assess the client's orientation, Check cranial nerves I, II, and V and Inspect the client's muscular symmetry.

Option 1, 2, 3 & 4 are correct.

These actions are essential in the initial assessment and care of a client with a suspected stroke. Making the client NPO ensures their safety and prevents potential complications related to oral intake. Assessing the client's orientation helps determine the level of consciousness and cognitive function.

Checking cranial nerves I, II, and V allows for the evaluation of sensory and motor deficits associated with stroke. Inspecting muscular symmetry aids in identifying any unilateral weakness or paralysis that may be present. By performing these actions, the nurse can gather important information to guide further assessment, diagnosis, and management of the client's condition.

Therefore, the correct options are 1, 2, 3 & 4.

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Related Questions

what was the subject of the book by vesalius that changed the field of medicine?

Answers

The subject of the book by Vesalius that changed the field of medicine is anatomy.

The book by Vesalius that changed the field of medicine is called De humani corporis fabrica libri septem which was published in 1543. The book is a comprehensive study of human anatomy that provided a detailed description of the human body's structure and the functions of its various organs. The book was highly influential in the development of modern medicine, as it challenged many of the traditional views on anatomy and physiology that had been held for centuries.

Vesalius based his book on his own observations, including dissections of human cadavers, rather than relying on the works of earlier authorities. This approach allowed him to make many groundbreaking discoveries about the human body's structure and function, including the discovery of the true structure of the heart and the role of the lungs in respiration.

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Which of the following is not consistent with the resilience model proposed by Miller-Kraus?
A.This resilience model is based on neurophysiology.
B.The resilience zone in an internal state of adaptability and flexibility.
C.We feel our best when we have a strong sympathetic system to regulate emotions.
D.We feel our best and deal effectively with life when we are in our resilience zone.

Answers

The statement that is  not consistent with the resilience model proposed by Miller-Kraus is C.We feel our best when we have a strong sympathetic system to regulate emotions.

Miller-Kraus' resilience model places emphasis on how well the sympathetic (fight-or-flight) and parasympathetic (rest-and-digest) systems of the autonomic nervous system are balanced. According to the paradigm, people are in their zone of resilience when both systems are equally active and promote flexibility and adaptability.

The statement, however, runs counter to this concept by implying that having a robust sympathetic system to control emotions is necessary for feeling our best and managing life well. The model thus, places more emphasis on harmony among the sympathetic and parasympathetic nervous systems than it does on the power of the sympathetic nervous system alone.

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