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Brain Attack Evolve Case Study Essay

Points Awarded 31.00 Points Missed 0.00 Percentage 100% Clinical Manifestations The Emergency Department (ED) nurse is completing the admission assessment. Nancy is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. 1. Which additional clinical manifestation(s) should the nurse expect to find if Nancy's symptoms have been caused by a brain attack (stroke)? (Select all that apply.) A) A carotid bruit. CORRECT The carotid artery (artery to the brain) is narrowed in clients with a brain attack (stroke). A bruit is an abnormal sound heard on auscultation resulting from interference with normal blood flow.

B) Elevated blood

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INCORRECT While this is a worthwhile intervention to decrease anxiety for an alert client, Nancy’s LOC would not support this intervention. In addition, there is another intervention that is a priority. Continued support of Nancy’s daughter would be appropriate. The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT. 5. Which data warrants immediate intervention by the nurse concerning

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this diagnostic test? A) Elevated blood pressure. INCORRECT This would not affect the MRI. B) Allergy to shell fish. INCORRECT This would not affect the MRI. C) Right hip replacement. CORRECT The magnetic field generated by the MRI is so strong that metal-containing items are strongly attracted to the magnet. Because the hip joint is made of metal, a lead shield must be used during the procedure. D) History of atrial fibrillation. INCORRECT This would not affect the MRI. Therapeutic Communication

Nancy is transferred to the Intermediate Care Unit after the MRI is completed. She has a 20 gauge saline lock in her right forearm and an 18 French indwelling (Foley) catheter. Gail is sitting by her mother's bed. The nurse asks Gail if there is anyone that can be called so she won't be alone. She informs the nurse that she is an only child and her father died years ago. Gail states, "I don't understand what a brain attack is. The healthcare provider told me my mother is in serious…


Category: Case study

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