Author Question: An adult admitted to the hospital after a stroke does not respond to verbal stimuli. What should the ... (Read 73 times)

Melani1276 · **on:** Jul 23, 2018

An adult admitted to the hospital after a stroke does not respond to verbal stimuli. What should the nurse do next to try to provoke a response?

a. Apply pressure to the mandible at the jaw.
b. Rub the patient's sternum.
c. Squeeze the trapezius muscle.
d. Gently shake the patient's shoulder.

Question 2

During morning care, the patient asks the nurse to shave him with a disposable razor. Before shaving him, the nurse should:

a. Have him sign a permission form
b. Check to see whether the patient is taking anticoagulants
c. Tell him that only a family member may shave a patient
d. Position him flat in bed

maaaaaaaaaa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
If the patient does not respond to verbal stimuli, the nurse should try tactile stimuli by gently shaking the patient's shoulder. If the patient does not respond to tactile stimuli, the nurse should try painful stimuli by squeezing the trapezius muscle, rubbing the sternum, applying pressure on the mandible at the angle of the jaw, or applying pressure over the moon of the nail. But do not start out with painful stimulation before you are sure the patient is not going to react to a less invasive approach.

Answer to Question 2

B
If the patient is taking anticoagulant medication or has a bleeding disorder, he is at risk for bleeding. You should use an electric razor, not a disposable razor that may nick the patient's skin.