Author Question: A client with a severe head injury is admitted to the emergency department (ED). The preliminary ... (Read 49 times)

melina_rosy · **on:** Jul 16, 2018

A client with a severe head injury is admitted to the emergency department (ED). The preliminary assessment indicates central cerebrovascular accident (CVA) and gradual worsening of symptoms of brain ischemia.

The symptom indicates that the client is in which of the following stage of a CVA? A) Transient ischemic attack
B) Stroke in evolution
C) Reversible ischemic neurologic deficit
D) Completed stroke

Question 2

The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old client scheduled for the operation. Which of the following accurately describes this procedure?

A) It is the least commonly used of all procedures for prostatectomy.
B) It has a shorter recovery time than other forms of prostatectomy.
C) It is not recommended for those who are old or a poor surgical risk.
D) It produces a smaller incision than other types of prostatectomy.

cloud · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
The client is in the stroke in evolution stage of CVA. Stroke in evolution (SIE) is a gradual worsening of symptoms of brain ischemia. Transient ischemic attack (TIA) is a sudden, short-lived attack. The person recovers within 24 hours. TIA is often a warning that another, more serious stroke will occur later. Reversible ischemic neurologic deficit (RIND) is similar to TIA, except that the symptoms last for as long as a week. Recovery is complete or nearly so. RIND is also a warning that a more serious stroke is likely. Completed stroke (CS) occurs when symptoms of stroke are present and stabilize over a period.

Answer to Question 2

B
Feedback:
Recovery after TURP is shorter than after other approaches. TURP is the most common prostatectomy procedure, particularly for older men or those who are a poor surgical risk. In TURP, the surgeon removes prostate tissue through the urethra using a resectoscope, which has a cutting edge or electric wire that slices the prostate away bit by bit. Because the surgeon does the operation through the urethra, no incision is necessary.