ATI PN Adult Med Surg 2020 with NGN

ATI PN Adult Med Surg 2020 with NGN ( 101 Questions)

A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?



Correct Answer: A

A change in pupil size can  indicate an increase in intracranial pressure, which can lead to a life-threatening situation. The nurse should immediately report this finding to the provider.

Choice B is incorrect because difficulty speaking is a common finding in clients  who have had a left hemispheric stroke and should be monitored but is not an  immediate concern. 

Choice C is incorrect because inability to follow direction is a common finding in  clients who have had a left hemispheric stroke and should be monitored but is not  an immediate concern. 

Choice D is incorrect because right-sided weakness is a common finding in clients  who have had a left hemispheric stroke and should be monitored but is not an  immediate concern. 

Reasons why the other choices are not answers: 

Choice B: Difficulty speaking is a common finding in clients who have had a left  hemispheric stroke and should be monitored but is not an immediate concern.

Choice C: Inability to follow direction is a common finding in clients who have had  a left hemispheric stroke and should be monitored but is not an immediate  concern. 

Choice D: Right-sided weakness is a common finding in clients who have had a left  hemispheric stroke and should be monitored but is not an immediate concern. 




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