Medical Surgical Nursing Study Guide Ignatavicius Ch. 45, Medical Surgical Nursing Study Guide Ignatavicius Ch. 43 Questions And Answers 2022

Medical Surgical Nursing Study Guide Ignatavicius Ch. 45, Medical Surgical Nursing Study Guide Ignatavicius Ch. 43 Questions And Answers 2022 Which finding could help the health care team differentiate a TIA from a stroke? a. Pt has a unilateral facial droop b. Pt has slurred speech c. Symptoms resolve in 30-60 mins d. ECG is normal - Answer- c. Symptoms resolve in 30-60 mins The nurse is preparing to discharge a pt with transient ischemic attacks. What topics does the nurse include in discharge teaching? Select all that apply. a. Reduction of high blood pressure b. Drug teaching for aspirin or other antiplatelet drug c. Lifestyle changes such as smoking cessation d. Self-care for managing chronic conditions such as diabetes e. Increased risk fro stroke and signs/symptoms f. Benefits of taking vitamin supplements - Answer- a. Reduction of high blood pressure b. Drug teaching for aspirin or other antiplatelet drug c. Lifestyle changes such as smoking cessation d. Self-care for managing chronic conditions such as diabetes e. Increased risk fro stroke and signs/symptoms The home health nurse is assessing a pt who had a stroke that affected the right hemisphere. What would the nurse expect to observe? a. Pt is overly anxious and cautious when asked to do a new task. b. Pt is euphoric and smiling but disoriented to person, place and time. c. Pt is depressed and expresses ongoing worries about the future d. Pt has a flat affect but is able to answer most questions appropriately. - Answer- b. Pt is euphoric and smiling but disoriented to person, place and time. The nurse is assessing a pt who was brought to the ED for altered mental status. In the absence of family members or witnesses to give a history, what does the nurse do to identify two conditions that could mimic emergent neurologic conditions? a. Check skin turgor and perform a bladder scan b. Check blood glucose and oxygen saturation c. Observe for jugular vein distention and pitting edema d. Observe for jaundice and abdominal distention - Answer- b. Check blood glucose and oxygen saturation Following a left cerebral hemisphere stroke, the pt has expressive (Broca's) aphasia. Which intervention is best to use when communicating with this patient? a. Repeat the names of objects on a routine basis. b. Face the pt and speak slowly and clearly c. Obtain a whiteboard with an erasable marker d. Use a picture board that displays objects and activities.. - Answer- d. Use a picture board that displays objects and activities.. The nurse is caring for a pt with right cerebral hemisphere damage. The pt demonstrates disorientation to time and place and neglect of the left visual field, and he has poor depth perception. Which task is best delegated to the UAP? a. Move the pt's bed so that his affected side faces the door b. Teach the pt to wash both sides of his face c. Ensure a safe environment by removing clutter d. Suggest to the family tat they bring familiar family photos - Answer- c. Ensure a safe environment by removing clutter A pt with a right cerebral hemisphere stroke may have safety issues related to which factor? a. Poor impulse control b. Alexia and agraphia c. Loss of language and analytical skills d. Slow and cautious behavior - Answer- a. Poor impulse control A stroke pt is at risk for increased intracranial pressure and is receiving 2 L via nasal cannula. The nurse is reviewing ABG results. Which value is of greatest concern for this patient? a. pH of 7.32 b. PaCO2 of 60 c. PaO2 of 95 d. HCO3 of 28 - Answer- b. PaCO2 of 60 What is the priority concept for the interdisciplinary care and treatment of a patient who is suspected of having a stroke? a. Pain b. Cognition c. Perfusion d. Sensory perception - Answer- c. Perfusion The preferred administration time for intravenous fibrinolytic therapy is generally within what time frame of stroke symptom onset? ........