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HESI RN EXIT CASE STUDY - STROKE
1. Which additional clinical manifestations should the nurse expect to find if Mr. Jones'
symptoms have been caused by a stroke? (select all that apply)
ANS: -a carotid bruit
-elevated blood pressure
-hyporeflexic deep tendon reflexes
2. Which assessment findings warrant immediate intervention by the nurse? (select all
that apply)
ANS: -Mr. Jones' Glasgow Coma Scale (GCS) score changes from 12 to 9
-Mr. Jones has a positive Babinski's reflex bilaterally
-Mr. Jones is unable to verbalize responses to the nurse's questions
3. What clinical manifestations further support this assessment? (select all that apply)
ANS: -visual field deficit on the left side
-spatial-perceptual deficits
-paresthesia on the left side
-increased distractibility
4. Which intervention should the nurse implement when preparing Mr. Jones and his
