An Older Woman Has Left-Sided Paralysis from a Thrombus Formation

question 21

Multiple Choice

An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature.Rank the nursing goals of this woman's plan of care in order of importance,starting with the most important goal.

• A)Instruct her to call for help before moving.
• B)Maintain her blood pressure below 120/80 mm Hg.
• C)Reinforce occupational therapy for feeding.
• D)Use range-of-motion exercises to prevent contractures.
• E)none of the above

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