Exam (elaborations) CARING FOR CLIENTS WITH CEREBROVASCULAR DISORDERS.

CARING FOR CLIENTS WITH CEREBROVASCULAR DISORDERS. PREP-CH 38 QUESTIONS AND ANSWERS. A client undergoes cerebral angiography for evaluation after an intracranial computed tomography scan revealed a subarachnoid hemorrhage. Afterward, the nurse checks frequently for signs and symptoms of complications associated with this procedure. Which findings indicate spasm or occlusion of a cerebral vessel by a clot? • Hemiplegia, seizures, and decreased level of consciousness (LOC) Explanation: Spasm or occlusion of a cerebral vessel by a clot causes signs and symptoms similar to those of a stroke: hemiplegia, seizures, decreased LOC, aphasia, hemiparesis, and increased focal symptoms. Nausea, vomiting, and profuse sweating suggest a delayed reaction to the contrast medium used in cerebral angiography. Difficulty breathing or swallowing may signal a hematoma in the neck. Tachycardia, tachypnea, and hypotension suggest internal hemorrhage.