WEEK 11 SHERPATH: STROKE ACTUAL QUESTIONS AND
ANSWERS WITH FULL COMPLETE SOLUTION |100%
CORRECT!!
Which response would the nurse give when asked how an embolic stroke occurs?
A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
B. "Atherosclerotic plaque accumulates in a cerebral vessel and blocks blood
flow."
C. "The vertebral artery dissects after a chiropractic adjustment to the cervical
spine."
D. "The carotid artery bifurcation is chemically irritated and prevents the flow of
blood." - ANSWER - A. "An embolus from the heart or lower circulation lodges in a
cerebral vessel."
An embolic stroke occurs when an embolus from the heart or lower circulation
travels distally and lodges in a small vessel, obstructing the blood supply.
Which type of stroke is most common?
A. Ischemic
B. Intracerebral hemorrhage
C. Cryptogenic
D. Subarachnoid hemorrhage - ANSWER - A. Ischemic
About 87% of strokes are ischemic strokes, making it the most common type of
stroke.
,Which complication would the nurse monitor for when caring for a patient with
ischemic stroke? Select all that apply. One, some, or all responses may be correct.
A. Seizures
B. Pneumonia
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension - ANSWER - A, C, D and E
Seizures
Seizures are a major acute neurologic complication of ischemic stroke.
Cerebral edema
Cerebral edema commonly occurs after ischemic stroke and causes clinical
deterioration.
Hemorrhagic conversion
Hemorrhagic conversion is a secondary hemorrhage at the site of the stroke
lesion and is a common complication of ischemic stroke.
Intracranial hypertension
Uncontrolled cerebral edema can cause intracranial hypertension.
Which medication prescription would the nurse question after administering
alteplase 12 hours ago to a patient admitted to the critical care unit with ischemic
stroke?
A. Aspirin
B. Acetaminophen
, C. Phenytoin
D. Gabapentin - ANSWER - A. Aspirin
Patients receiving fibrinolytic therapy for stroke should not receive aspirin,
heparin, warfarin, ticlopidine, or any other antithrombotic or antiplatelet
medications for at least 24 hours after treatment.
Which patient factor would prevent the use of alteplase as a treatment for
ischemic stroke?
A. Male sex
B. Age 14 years
C. NIHSS score of 15
D. History of breast cancer - ANSWER - B. Age 14 years
Fibrinolytics would not be administered to a patient younger than 18 years of age.
Which intervention would the nurse incorporate into the plan of care for a patient
receiving rt-PA for ischemic stroke?
A. Administer nitroprusside for a systolic blood pressure >150 mm Hg.
B. Maintain body temperature between 97° and 98°F.
C. Administer prophylactic medications for cerebral edema.
D. Implement seizure precautions. - ANSWER - D. Implement seizure precautions.
Prophylactic medications would not be given for seizures, but the nurse would
still implement seizure precautions.
Which statement would the nurse make when asked to describe an arteriovenous
malformation (AVM)?
A. "An AVM occurs in the brainstem of people with a history of hypertension."
ANSWERS WITH FULL COMPLETE SOLUTION |100%
CORRECT!!
Which response would the nurse give when asked how an embolic stroke occurs?
A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
B. "Atherosclerotic plaque accumulates in a cerebral vessel and blocks blood
flow."
C. "The vertebral artery dissects after a chiropractic adjustment to the cervical
spine."
D. "The carotid artery bifurcation is chemically irritated and prevents the flow of
blood." - ANSWER - A. "An embolus from the heart or lower circulation lodges in a
cerebral vessel."
An embolic stroke occurs when an embolus from the heart or lower circulation
travels distally and lodges in a small vessel, obstructing the blood supply.
Which type of stroke is most common?
A. Ischemic
B. Intracerebral hemorrhage
C. Cryptogenic
D. Subarachnoid hemorrhage - ANSWER - A. Ischemic
About 87% of strokes are ischemic strokes, making it the most common type of
stroke.
,Which complication would the nurse monitor for when caring for a patient with
ischemic stroke? Select all that apply. One, some, or all responses may be correct.
A. Seizures
B. Pneumonia
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension - ANSWER - A, C, D and E
Seizures
Seizures are a major acute neurologic complication of ischemic stroke.
Cerebral edema
Cerebral edema commonly occurs after ischemic stroke and causes clinical
deterioration.
Hemorrhagic conversion
Hemorrhagic conversion is a secondary hemorrhage at the site of the stroke
lesion and is a common complication of ischemic stroke.
Intracranial hypertension
Uncontrolled cerebral edema can cause intracranial hypertension.
Which medication prescription would the nurse question after administering
alteplase 12 hours ago to a patient admitted to the critical care unit with ischemic
stroke?
A. Aspirin
B. Acetaminophen
, C. Phenytoin
D. Gabapentin - ANSWER - A. Aspirin
Patients receiving fibrinolytic therapy for stroke should not receive aspirin,
heparin, warfarin, ticlopidine, or any other antithrombotic or antiplatelet
medications for at least 24 hours after treatment.
Which patient factor would prevent the use of alteplase as a treatment for
ischemic stroke?
A. Male sex
B. Age 14 years
C. NIHSS score of 15
D. History of breast cancer - ANSWER - B. Age 14 years
Fibrinolytics would not be administered to a patient younger than 18 years of age.
Which intervention would the nurse incorporate into the plan of care for a patient
receiving rt-PA for ischemic stroke?
A. Administer nitroprusside for a systolic blood pressure >150 mm Hg.
B. Maintain body temperature between 97° and 98°F.
C. Administer prophylactic medications for cerebral edema.
D. Implement seizure precautions. - ANSWER - D. Implement seizure precautions.
Prophylactic medications would not be given for seizures, but the nurse would
still implement seizure precautions.
Which statement would the nurse make when asked to describe an arteriovenous
malformation (AVM)?
A. "An AVM occurs in the brainstem of people with a history of hypertension."
