The Nurse Is Caring for a Client with a Stroke

question 26

Multiple Choice

The nurse is caring for a client with a stroke who has progressive development of neurological deficits with increasing weakness and decreased level of consciousness (LOC) . Which of the following nursing diagnoses has the highest priority for the client?

• A)Impaired physical mobility related to decrease in muscle strength
• B)Risk for injury as evidenced by alteration in cognitive function
• C)Risk for impaired skin integrity as evidenced by pressure over bony prominence (immobilty)
• D)Risk for aspiration as evidenced by impaired ability to swallow

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Definitions:

Constructionists

Advocates of constructionism, a theory that suggests knowledge and reality are not objective but constructed by societal or cultural contexts.

Social Control

Mechanisms, strategies, and institutions society uses to regulate individual and group behavior, aiming to conform to norms and rules.

Biological Aspects

Features or characteristics relating to the biology or the physical body of living organisms.

Actively Seeking

The process of diligently searching or pursuing something, such as employment or information.