The Nurse Is Caring for a Patient Admitted with New

question 13

Multiple Choice

The nurse is caring for a patient admitted with new onset of slurred speech,facial droop,and left-sided weakness 8 hours ago.Diagnostic computed tomography scan rules out the presence of an intracranial bleed.Which actions are most important to include in the patient's plan of care? (Select all that apply.)

• A) Make frequent neurological assessments.
• B) Maintain CO₂ level at 50 mm Hg.
• C) Maintain MAP less than 130 mm Hg.
• D) Prepare for thrombolytic administration.
• E) Restrain affected limb to prevent injury.

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Definitions:

Sensory Overload

A condition where one or more of the body's senses experiences over-stimulation from the environment.

Swaddling

The practice of wrapping infants tightly in blankets or cloths to restrict movement and simulate the coziness of the womb.

Black And White Mobile

Traditionally, a simple hanging toy for infants designed with high-contrast black and white patterns to stimulate visual development and cognitive attention.

Singing

The act of producing musical sounds with the voice, often including the use of words.