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    Hesi rn med surg 2 proctored exam

    The nurse reports that a client is at risk for a stroke based on which assessment finding?

    Explanation & Rationale

    Choice A reason: Nuchal rigidity is more commonly associated with meningeal irritation, such as in meningitis or subarachnoid hemorrhage, rather than ischemic stroke risk. Choice B reason: A carotid bruit is a turbulent sound heard over the carotid artery, often indicating arterial narrowing due to atherosclerosis. This is a recognized risk factor for transient ischemic attacks and ischemic stroke. Choice C reason: Jugular vein distention suggests elevated central venous pressure, often seen in heart failure, not typically linked to stroke risk. Choice D reason: Palpable cervical lymph nodes are usually associated with infection or malignancy and do not indicate cerebrovascular risk.

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