Practice Question
Which outcome is most appropriate for a client being discharged to a long-term care facility after a stroke?
Answer Choices:
Correct Answer:
The client states they will notify their provider if they notice any signs of a stroke.
Rationale:
🟢 This outcome focuses on recognition of stroke warning signs and appropriate action, which is essential for secondary prevention.
🟢 Clients with a history of stroke are at high risk of recurrent stroke, so they must know to seek immediate medical attention if symptoms recur.
🟢 The outcome is specific and behavior-focused: the client will notify the provider upon noticing stroke signs, aligning with teaching on FAST and emergency response.
🟢 It reflects a realistic, functional goal for a client in a long-term care facility, where staff and providers can be promptly alerted.
🟢 This makes it the most appropriate discharge outcome related to stroke management and safety, consistent with health promotion and prevention principles.
The client will promise to get yearly physicals.
🟢 While yearly physicals are beneficial for overall health maintenance, they are not specific to stroke prevention or recognition.
🟢 Stroke risk management requires ongoing blood pressure control, medication adherence, and prompt response to new neurologic symptoms, not just annual visits.
🟢 This statement is vague and does not measure a clear understanding of stroke warning signs or immediate actions needed.
🟢 It is less directly tied to the primary teaching goals following a cerebrovascular event.
🟢 Therefore, while helpful, this is not the most appropriate or targeted outcome for stroke-specific discharge teaching.
The client will demonstrate how to use crutches.
🟢 Using crutches is typically associated with orthopedic conditions, not the most common mobility patterns after a stroke.
🟢 Stroke often leads to hemiparesis or hemiplegia, which may require canes, walkers, wheelchairs, or orthotics, rather than crutches.
🟢 This outcome does not align with the typical rehabilitative needs of most stroke clients unless a separate orthopedic issue exists.
🟢 It also fails to address stroke risk, safety, or recognition of recurrent symptoms, which are higher priorities.
🟢 Consequently, this is not an appropriate primary outcome for a client discharged after a stroke.
The client can state three ways to restrict potassium.
🟢 Potassium restriction is usually associated with renal disease or some cardiac conditions, not with stroke management.
🟢 There is no indication in the question that the client has hyperkalemia or kidney disease requiring dietary potassium control.
🟢 Focusing on potassium restriction would divert attention from more relevant topics like blood pressure control, anticoagulant use, and stroke symptom recognition.
🟢 Teaching should be prioritized based on stroke-specific risks rather than unrelated dietary modifications.
🟢 Thus, this outcome is not appropriate for a routine stroke discharge plan.
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This question is from Examplify NR304 Quiz 3 BSNOL NOV25 which contains 10 questions.
More Questions from This Exam
Which of the following is not an anticipated finding for a client that experienced a stroke?
Answer Choices:
The nurse is assessing the client. Which findings are indicative of the need for further neurological assessment? (Select all that apply.)
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Which findings in this client's health history should the nurse associate with an increased risk for neurological impairment? (Select all that apply.)
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A nurse has four clients who have all had a stroke. Which of the clients should the nurse see first?
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Which of the following assessment findings can be related to chronic stress?
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Health Assessment
- Answer Choices: 4