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Author Question: A client with a suspected transient ischemic attack (TIA) presents to the emergency department with ... (Read 69 times)

EY67

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on: Jun 25, 2018
A client with a suspected transient ischemic attack (TIA) presents to the emergency department with aphasia.
 
  Based on this data, the nurse plans care based on ischemia to which portion of the brain?
  A) Middle cerebral artery
  B) Posterior cerebral artery
  C) Left hemisphere of the brain
  D) Right hemisphere of the brain

Question 2

A client recovering from a stroke is being discharged on warfarin sodium (Coumadin).
 
  During discharge teaching, which statement by the client would reflect an understanding of the effects of this medication?
  A) It will be okay for me to eat anything, as long as it is low-fat.
  B) I will stop taking this medicine if I notice any bruising.
  C) I'll check my blood pressure frequently while taking this medication.
  D) I will not eat spinach while I'm taking this medicine.


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Toya9913

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: C

Aphasia occurs due to ischemia of the left hemisphere. The other choices may be involved in a TIA, but are not the causative pathology of aphasia.

Answer to Question 2

Answer: D

Warfarin sodium suppresses the synthesis of vitamin K coagulation factors. Green, leafy vegetables contain vitamin K and will therefore interfere with the therapeutic effects of the drug. Bruising is a common side effect, and the drug should not be stopped unless prescribed by the physician. Low-fat foods do not interfere with warfarin sodium therapy. Anticoagulants do not affect the blood pressure.


EY67

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Reply #2 on: Jun 25, 2018
Thank you


Toya9913

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Reply #3 on: Jun 25, 2018
No problemo


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