A client comes to the clinic with complaints of severe headache, ...

[frankwu]

A client comes to the clinic with complaints of severe headache, personality changes, ringing in the ears, and numbness and tingling of the extremities. Which objective data should the nurse collect?
 
  1. Edema in the legs
  2. Strength of hand grip bilaterally
  3. Peripheral vision
  4. Hearing

Question 2

The nurse is planning to teach a client and family about care for the client who experienced a cerebral vascular accident (CVA). About which safety issues should the nurse instruct the client and family?
 
  1. Safety during meals
  2. Safety while the client is driving
  3. Providing seizure precautions
  4. Providing glasses for impaired vision

[ecox1012]

Answer to Question 1

Answer: 2

1. The client exhibits signs of neurological impairment from a possible tumor. Edema in the legs would not be an expected assessment of a brain tumor.
2. Checking hand strength is an important objective assessment when neurologic alterations are suspected.
3. Peripheral vision is not a test the nurse does. The nurse would assess for blurred vision.
4. Hearing is not likely to be impacted by a tumor, but balance gait changes would be.

Answer to Question 2

Answer: 1

1. Clients can experience an inability to swallow when recovering from a CVA. The nurse should teach the client safety measures to prevent aspiration during meals.
2. The client in the hospital will not be driving.
3. Seizure is not usually a complication of CVA.
4. If damage to the eye is apparent, it is neurological, and glasses help with functional eye problems.

[frankwu]

Gracias!

[dawsa925]

Thanks for the timely response, appreciate it