Which assessment data would indicate to the nurse that the client would be at risk for a haemorrhagic stroke?

95. A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

• Unilateral neglect is a condition where a person fails to respond to stimuli on one side of the body, typically opposite the side of the brain lesion. Shaving only one side of the face is a classic manifestation of this.
• The correct answer is A.

96. The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

• Expressive aphasia (Broca's aphasia) primarily affects the ability to produce language, including speaking and writing, while comprehension is generally preserved.
• The correct answer is D.

97. The doctor has prescribed aspirin 325mg daily for a client with transient ischemic attacks. The nurse knows that aspirin was prescribed to:

• Aspirin is an antiplatelet medication. In clients with transient ischemic attacks (TIAs), it is used to prevent blood clots by inhibiting platelet aggregation, thereby reducing the risk of future ischemic strokes.
• The correct answer is B.

98. Which client would the nurse identify as being most at risk for experiencing a CVA? A/An

• Advanced age is the most significant non-modifiable risk factor for a cerebrovascular accident (CVA) or stroke. Among the given options, the 84-year-old female is at the highest risk due to her age.
• The correct answer is D.

99. Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke? A/the

• Severe hypertension is the most significant risk factor for hemorrhagic stroke, as extremely high blood pressure can cause blood vessels in the brain to rupture. A blood pressure of 220/120 mmHg indicates a hypertensive crisis.
• The correct answer is B.

100. Which of the following organisms is responsible for causing encephalitis in immunocompetent individuals?

• Herpes Simplex Virus (HSV), particularly HSV-1, is the most common cause of sporadic viral encephalitis in immunocompetent individuals.
• The correct answer is C.

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