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The Nurse Is Admitting a Client with a Stroke Who

question 39

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The nurse is admitting a client with a stroke who is unconscious and unresponsive to stimuli and learns from the client's family that the client has a history of gastro-esophageal reflux disease (GERD) . Which of the following assessment parameters shouldthe nurse plan to assess frequently?


Definitions:

Anxiety

An emotion of concern, anxiety, or discomfort due to an uncertain result.

Hallucinations

Experiencing sights and sounds without external sources, like noticing things which do not actually exist.

Voices

Auditory experiences where a person hears sounds or speech without external stimulus, commonly associated with certain mental health conditions.

Stress

A physical or emotional reaction to demanding or threatening situations, causing strain or tension.

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