A Patient with a Stroke Has Progressive Development of Neurologic

question 7

Multiple Choice

A patient with a stroke has progressive development of neurologic deficits with increasing weakness and decreased level of consciousness (LOC) . The priority nursing diagnosis for the patient is

• A) risk for impaired skin integrity related to immobility.
• B) disturbed sensory perception related to brain injury.
• C) risk for aspiration related to inability to protect airway.
• D) impaired physical mobility related to weakness.

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Definitions:

High-Impact

Activities or actions that have a significant or powerful effect on a particular situation or outcome.

Hemorrhoids

Swollen and inflamed veins around the rectum or in the anus, often causing discomfort, pain, and bleeding.

Incontinent

The inability to control bladder and/or bowel functions, leading to involuntary loss of urine or feces.

Liquid Stool

Stool that is more liquid than solid, often indicating diarrhea or a gastrointestinal condition affecting digestion and absorption.