NUR 4500 Med Surg Exams 1–8 (Ch. 66–89) | Verified Q&A With Rationales

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NUR 4500 MED SURG EXAMS 1- 8, CHAPTER 66-89 ACTUAL
EXAMS|| ACCURATE AND FREQUENTLY TESTED QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALES|| LATEST AND
COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS

Med Surge Quiz 3 - CHP 66



Question 1
A female patient is diagnosed with a right-sided stroke. The patient is now experiencing
hemianopsia. How might the nurse help the patient manage her potential sensory and
perceptional difficulties?

You Selected:

• Place the patient's extremities where she can see them. - ANSWER:

• Place the patient's extremities where she can see them. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1984.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1984




Question 2 See full Question

When preparing to discharge a patient home, the nurse has met with the family and
warned them that the patient may exhibit unexpected emotional responses. The nurse
should teach the family that these responses are typically a result of what cause? You
Selected:

• Frustration around changes in function and communication - ANSWER:

• Frustration around changes in function and communication Explanation:

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Reference:

□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1986.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1986




Question 3 See full Question

A patient is brought by ambulance to the ED after suffering what the family thinks is a
stroke. The nurse caring for this patient is aware that an absolute contraindication for
thrombolytic therapy is what?

You Selected:

• Evidence of hemorrhagic stroke - ANSWER:

• Evidence of hemorrhagic stroke Explanation:

Reference:

□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1977.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1977




Question 4 See full Question

A patient with a new diagnosis of ischemic stroke is deemed to be a candidate for
treatment with tissue plasminogen activator (t-PA) and has been admitted to the ICU.
In addition to closely monitoring the patient's cardiac and neurologic status, the nurse
monitors the patient for signs of what complication?

You Selected:

• Bleeding

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- ANSWER:
• Bleeding Explanation:

Reference:

□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1979.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1979




Question 5 See full Question

A patient has recently begun mobilizing during the recovery from an ischemic stroke.
To protect the patient's safety during mobilization, the nurse should perform what
action? You Selected:

• Avoid mobilizing the patient in the early morning or late evening. -
ANSWER:

• Have a colleague follow the patient closely with a wheelchair. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67:

Management of Patients With Cerebrovascular Disorders, p. 1982. Chapter 67:
Management of Patients With Cerebrovascular Disorders - Page 1982




Question 6 See full Question

The nurse is performing stroke risk screenings at a hospital open house. The nurse
has identified four patients who might be at risk for a stroke. Which patient is likely at
the highest risk for a hemorrhagic stroke?

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You Selected:

• White male, age 60, with history of uncontrolled hypertension - ANSWER:

• White male, age 60, with history of uncontrolled hypertension Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1988.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1988




Question 7 See full Question

A patient who has experienced an ischemic stroke has been admitted to the medical
unit. The patient's family in adamant that she remain on bed rest to hasten her recovery
and to conserve energy. What principle of care should inform the nurse's response to
the family?

You Selected:

• The patient should mobilize as soon as she is physically able. - ANSWER:

• The patient should mobilize as soon as she is physically able. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014,
Chapter 67: Management of Patients With Cerebrovascular Disorders, p. 1982.
Chapter 67: Management of Patients With Cerebrovascular Disorders - Page 1982




Question 8 See full Question