{"id":133618,"date":"2024-08-23T20:54:04","date_gmt":"2024-08-23T20:54:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=133618"},"modified":"2024-08-23T20:54:06","modified_gmt":"2024-08-23T20:54:06","slug":"a-home-health-nurse-is-completing-an-admission-on-a-client-who-recently-experienced-a-transient-ischemic-attack-tia","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/08\/23\/a-home-health-nurse-is-completing-an-admission-on-a-client-who-recently-experienced-a-transient-ischemic-attack-tia\/","title":{"rendered":"A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA)"},"content":{"rendered":"\n<p>A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?<\/p>\n\n\n\n<p>A.<br>Call 9-1-1.<\/p>\n\n\n\n<p>B.<br>Determine if the client has a history of migraine headaches.<\/p>\n\n\n\n<p>C.<br>Give the client a dose of acetaminophen.<\/p>\n\n\n\n<p>D.<br>Assure the client the symptoms will resolve within 24 hours.<\/p>\n\n\n\n<p>E.<br>None of the above.<\/p>\n\n\n\n<p>In this situation, the client&#8217;s symptoms\u2014severe headache and numbness in the left arm\u2014are concerning because they may indicate a possible stroke or worsening of the TIA. The initial action should prioritize the client&#8217;s immediate safety and address the potential for a more serious condition.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Correct Action:<\/h3>\n\n\n\n<p><strong>A. Call 9-1-1.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Severe Headache and Numbness in the Left Arm:<\/strong>\n<ul class=\"wp-block-list\">\n<li>These symptoms, especially after a recent TIA, could indicate the onset of a full-blown stroke. The client needs immediate medical evaluation to determine the cause and receive appropriate treatment.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Rationale for Other Options:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>B. Determine if the client has a history of migraine headaches:<\/strong> While a history of migraines might provide context, it does not address the immediate concern of potentially acute symptoms.<\/li>\n\n\n\n<li><strong>C. Give the client a dose of acetaminophen:<\/strong> This does not address the possibility of a serious condition such as a stroke and may delay necessary emergency intervention.<\/li>\n\n\n\n<li><strong>D. Assure the client the symptoms will resolve within 24 hours:<\/strong> This is inappropriate given the severity of the symptoms and the risk of a stroke.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p>Calling 9-1-1 ensures that the client receives prompt medical attention, which is critical in cases involving potential strokes or significant changes in neurological status.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially? A.Call 9-1-1. B.Determine if the client has a history of migraine headaches. 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