Management of Patients withCerebrovascular Disorders
Study online at https://quizlet.com/_izwyq9
1. A patient has had an ischemic stroke Ans:
and has been admitted to the medical C
unit. What Feedback:
action should the nurse perform to best A pillow in the axilla prevents adduction of the
prevent joint deformities? affected shoulder and keeps the arm
A) away from the chest. The prone position with a
Place the patient in the prone position pillow under the pelvis, not flat,
for 30 minutes/day. promotes hyperextension of the hip joints, es-
B) sential for normal gait. To promote
Assist the patient in acutely flexing the venous return and prevent edema, the upper
thigh to promote movement. thigh should not be flexed acutely. The
C) hand is placed in slight supination, not prona-
Place a pillow in the axilla when there is tion, which is its most functional
limited external rotation. position
D)
Place patients hand in pronation.
2. A patient diagnosed with transient is- Ans:
chemic attacks (TIAs) is scheduled for a C
carotid Feedback:
endarterectomy. The nurse explains The main surgical procedure for select patients
that this procedure will be done for with TIAs is carotid
what endarterectomy, the removal of an atherosclerot-
purpose? ic plaque or thrombus from the
A) carotid artery to prevent stroke in
To decrease cerebral edema patients with occlusive disease of the extracranial
Test Bank - Brunner Suddarth Medical arteries. An endarterectomy does
Surgical Nursing (15th by Hinkle) not decrease cerebral edema, prevent seizure ac-
1777 tivity, or determine the cause of a
B) TIA
To prevent seizure activity that is com-
mon following a TIA
, Management of Patients withCerebrovascular Disorders
Study online at https://quizlet.com/_izwyq9
C)
To remove atherosclerotic plaques
blocking cerebral flow
D)
To determine the cause of the TIA
3. The nurse is discharging home a patient Ans:
who suffered a stroke. He has a flaccid C
right Feedback:
arm and leg and is experiencing prob- Depression is a common and serious problem in
lems with urinary incontinence. The the patient who has had a stroke. It
nurse makes can result from a profound disruption in his or
a referral to a home health nurse be- her life and changes in total function,
cause of an awareness of what common leaving the patient with a loss of independence.
patient The nurse needs to encourage the
response to a change in body image? patient to verbalize feelings to assess the effect of
A) the stroke on self-esteem. Denial,
Denial fear, and disassociation are not the most com-
B) mon patient response to a change in
Fear body image, although each can occur in some
C) patients
Depression
D)
Disassociation
4. When caring for a patient who had a Ans:
hemorrhagic stroke, close monitoring B
of vital Feedback:
signs and neurologic changes is imper- Alteration in LOC is the earliest sign of deteriora-
ative. What is the earliest sign of deteri- tion in a patient after a
oration hemorrhagic stroke, such as mild drowsiness,
in a patient with a hemorrhagic stroke slight slurring of speech, and sluggish
, Management of Patients withCerebrovascular Disorders
Study online at https://quizlet.com/_izwyq9
of which the nurse should be aware? papillary reaction. Sudden headache may occur,
A) but generalized pain is less common.
Generalized pain Seizures and shortness of breath are not identi-
B) fied as early signs of hemorrhagic
Alteration in level of consciousness stroke.
(LOC)
C)
Tonicclonic seizures
D)
Shortness of breath
5. The nurse is performing stroke risk Ans:
screenings at a hospital open house. B
The nurse Feedback:
has identified four patients who might Uncontrolled hypertension is the primary cause
be at risk for a stroke. Which patient is of a hemorrhagic stroke. Control of
likely hypertension, especially in individuals over 55
at the highest risk for a hemorrhagic years of age, clearly reduces the risk
stroke? for hemorrhagic stroke. Additional risk factors are
A) increased age, male gender, and
White female, age 60, with history of excessive alcohol intake. Another high-risk group
excessive alcohol intake includes African Americans,
B) where the incidence of first stroke is almost twice
White male, age 60, with history of un- that as in Caucasians.
controlled hypertension
C)
Black male, age 60, with history of dia-
betes
D)
Black male, age 50, with history of
smoking
Study online at https://quizlet.com/_izwyq9
1. A patient has had an ischemic stroke Ans:
and has been admitted to the medical C
unit. What Feedback:
action should the nurse perform to best A pillow in the axilla prevents adduction of the
prevent joint deformities? affected shoulder and keeps the arm
A) away from the chest. The prone position with a
Place the patient in the prone position pillow under the pelvis, not flat,
for 30 minutes/day. promotes hyperextension of the hip joints, es-
B) sential for normal gait. To promote
Assist the patient in acutely flexing the venous return and prevent edema, the upper
thigh to promote movement. thigh should not be flexed acutely. The
C) hand is placed in slight supination, not prona-
Place a pillow in the axilla when there is tion, which is its most functional
limited external rotation. position
D)
Place patients hand in pronation.
2. A patient diagnosed with transient is- Ans:
chemic attacks (TIAs) is scheduled for a C
carotid Feedback:
endarterectomy. The nurse explains The main surgical procedure for select patients
that this procedure will be done for with TIAs is carotid
what endarterectomy, the removal of an atherosclerot-
purpose? ic plaque or thrombus from the
A) carotid artery to prevent stroke in
To decrease cerebral edema patients with occlusive disease of the extracranial
Test Bank - Brunner Suddarth Medical arteries. An endarterectomy does
Surgical Nursing (15th by Hinkle) not decrease cerebral edema, prevent seizure ac-
1777 tivity, or determine the cause of a
B) TIA
To prevent seizure activity that is com-
mon following a TIA
, Management of Patients withCerebrovascular Disorders
Study online at https://quizlet.com/_izwyq9
C)
To remove atherosclerotic plaques
blocking cerebral flow
D)
To determine the cause of the TIA
3. The nurse is discharging home a patient Ans:
who suffered a stroke. He has a flaccid C
right Feedback:
arm and leg and is experiencing prob- Depression is a common and serious problem in
lems with urinary incontinence. The the patient who has had a stroke. It
nurse makes can result from a profound disruption in his or
a referral to a home health nurse be- her life and changes in total function,
cause of an awareness of what common leaving the patient with a loss of independence.
patient The nurse needs to encourage the
response to a change in body image? patient to verbalize feelings to assess the effect of
A) the stroke on self-esteem. Denial,
Denial fear, and disassociation are not the most com-
B) mon patient response to a change in
Fear body image, although each can occur in some
C) patients
Depression
D)
Disassociation
4. When caring for a patient who had a Ans:
hemorrhagic stroke, close monitoring B
of vital Feedback:
signs and neurologic changes is imper- Alteration in LOC is the earliest sign of deteriora-
ative. What is the earliest sign of deteri- tion in a patient after a
oration hemorrhagic stroke, such as mild drowsiness,
in a patient with a hemorrhagic stroke slight slurring of speech, and sluggish
, Management of Patients withCerebrovascular Disorders
Study online at https://quizlet.com/_izwyq9
of which the nurse should be aware? papillary reaction. Sudden headache may occur,
A) but generalized pain is less common.
Generalized pain Seizures and shortness of breath are not identi-
B) fied as early signs of hemorrhagic
Alteration in level of consciousness stroke.
(LOC)
C)
Tonicclonic seizures
D)
Shortness of breath
5. The nurse is performing stroke risk Ans:
screenings at a hospital open house. B
The nurse Feedback:
has identified four patients who might Uncontrolled hypertension is the primary cause
be at risk for a stroke. Which patient is of a hemorrhagic stroke. Control of
likely hypertension, especially in individuals over 55
at the highest risk for a hemorrhagic years of age, clearly reduces the risk
stroke? for hemorrhagic stroke. Additional risk factors are
A) increased age, male gender, and
White female, age 60, with history of excessive alcohol intake. Another high-risk group
excessive alcohol intake includes African Americans,
B) where the incidence of first stroke is almost twice
White male, age 60, with history of un- that as in Caucasians.
controlled hypertension
C)
Black male, age 60, with history of dia-
betes
D)
Black male, age 50, with history of
smoking
