LEWIS CHAPTER 58 – STROKE WITH APPROVED
QUESTIONS AND CORRECT ANSWERS |LATEST
UPLOAD 2026 |ALREADY GRADED A+
Which modifiable risk factors for stroke would be most important for the nurse to
include when planning a community education program?
A. Hypertension
B. Hyerlipidemia
C. Alcohol consumption
D. Oral contraceptive use - ANS -A. Hypertension
Hypertension is the single most important modifiable risk factor, but it is still
often undetected and inadequately treated. The public is often more aware of
hyperlipidemia and oral contraceptive use as risk factors for stroke. Alcohol is also
a modifiable risk factor.
The nurse would expect to find what clinical manifestation in a patient admitted
with a left-sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span - ANS -B. Impaired speech
,Clinical manifestations of left-sided brain damage include right hemiplegia,
impaired speech/language, impaired right/left discrimination, and slow and
cautious performance. Impulsivity, left-sided neglect, and short attention span
are all manifestations of right-sided brain damage.
The nurse is discharging a patient admitted with a transient ischemic attack (TIA).
For which medications might the nurse expect to provide discharge instructions
(select all that apply)?
A. Clopidogrel (Plavix)
B. Enoxaparin (Lovenox)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
E. Tissue plasminogen activator (tPA) - ANS -A. Clopidogrel (Plavix)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
Aspirin is the most frequently used antiplatelet agent. Other drugs to prevent clot
formation include clopidogrel (Plavix), dipyridamole (Persantine), ticlopidine
(Ticlid), combined dipyridamole and aspirin (Aggrenox), and anticoagulant drugs,
such as oral warfarin (Coumadin). Tissue plasminogen activator is a fibrinolytic
medication used to treat ischemic stroke not prevent TIAs or strokes.
Which intervention is most appropriate when communicating with a patient
suffering from aphasia following a stroke?
, A. Present several thoughts at once so that the patient can connect the ideas.
B. Ask open-ended questions to provide the patient the opportunity to speak.
C. Finish the patient's sentences to minimize frustration associated with slow
speech.
D. Use simple, short sentences accompanied by visual cues to enhance
comprehension. - ANS -D. Use simple, short sentences accompanied by visual
cues to enhance comprehension.
When communicating with a patient with aphasia, the nurse should present one
thought or idea at a time. Ask questions that can be answered with a "yes," "no,"
or simple word. Use visual cues and allow time for the individual to comprehend
and respond to conversation.
Computed tomography (CT) of a 68-year-old male patient's head reveals that he
has experienced a hemorrhagic stroke. What is the priority nursing intervention in
the emergency department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA) - ANS -A. Maintenance of
patient's airway.
Maintenance of a patent airway is the priority in the acute care of a patient with a
hemorrhagic stroke. It supersedes the importance of fluid and electrolyte
imbalance and positioning. tPA is contraindicated in hemorrhagic stroke.
QUESTIONS AND CORRECT ANSWERS |LATEST
UPLOAD 2026 |ALREADY GRADED A+
Which modifiable risk factors for stroke would be most important for the nurse to
include when planning a community education program?
A. Hypertension
B. Hyerlipidemia
C. Alcohol consumption
D. Oral contraceptive use - ANS -A. Hypertension
Hypertension is the single most important modifiable risk factor, but it is still
often undetected and inadequately treated. The public is often more aware of
hyperlipidemia and oral contraceptive use as risk factors for stroke. Alcohol is also
a modifiable risk factor.
The nurse would expect to find what clinical manifestation in a patient admitted
with a left-sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span - ANS -B. Impaired speech
,Clinical manifestations of left-sided brain damage include right hemiplegia,
impaired speech/language, impaired right/left discrimination, and slow and
cautious performance. Impulsivity, left-sided neglect, and short attention span
are all manifestations of right-sided brain damage.
The nurse is discharging a patient admitted with a transient ischemic attack (TIA).
For which medications might the nurse expect to provide discharge instructions
(select all that apply)?
A. Clopidogrel (Plavix)
B. Enoxaparin (Lovenox)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
E. Tissue plasminogen activator (tPA) - ANS -A. Clopidogrel (Plavix)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
Aspirin is the most frequently used antiplatelet agent. Other drugs to prevent clot
formation include clopidogrel (Plavix), dipyridamole (Persantine), ticlopidine
(Ticlid), combined dipyridamole and aspirin (Aggrenox), and anticoagulant drugs,
such as oral warfarin (Coumadin). Tissue plasminogen activator is a fibrinolytic
medication used to treat ischemic stroke not prevent TIAs or strokes.
Which intervention is most appropriate when communicating with a patient
suffering from aphasia following a stroke?
, A. Present several thoughts at once so that the patient can connect the ideas.
B. Ask open-ended questions to provide the patient the opportunity to speak.
C. Finish the patient's sentences to minimize frustration associated with slow
speech.
D. Use simple, short sentences accompanied by visual cues to enhance
comprehension. - ANS -D. Use simple, short sentences accompanied by visual
cues to enhance comprehension.
When communicating with a patient with aphasia, the nurse should present one
thought or idea at a time. Ask questions that can be answered with a "yes," "no,"
or simple word. Use visual cues and allow time for the individual to comprehend
and respond to conversation.
Computed tomography (CT) of a 68-year-old male patient's head reveals that he
has experienced a hemorrhagic stroke. What is the priority nursing intervention in
the emergency department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA) - ANS -A. Maintenance of
patient's airway.
Maintenance of a patent airway is the priority in the acute care of a patient with a
hemorrhagic stroke. It supersedes the importance of fluid and electrolyte
imbalance and positioning. tPA is contraindicated in hemorrhagic stroke.
