NUR 240 Exam 4 Neuro Iggy Questions \| \| \| \| \| \| \|
with correct answers \| \|
1. Which clinical finding could help the health care team differentiate a
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transient ischemic attack from a stroke?
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a. Patient has a unilateral facial droop.
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b. Patient has slurred speech.
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C. Symptoms resolve in 30-60 minutes.
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d. Electrocardiogram is normal. - CORRECT ANSWERS ✔✔C. Symptoms
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resolve in 30-60 minutes.
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2. The nurse is preparing to discharge a patient with transient ischemic
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attacks. What topics does the nurse include in discharge teaching? Select all
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that apply. \| \|
a. Reduction of high blood pressure
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b. Drug teaching for aspirin or other antiplatelet drug
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,c. Lifestyle changes such as smoking cessation
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d. Self-care for managing chronic conditions, such as diabetes
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e. Increased risk for stroke and signs/ symptoms
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f. Benefits of taking vitamin supplements - CORRECT ANSWERS ✔✔a.
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Reduction of high blood pressure \| \| \| \| \|
b. Drug teaching for aspirin or other antiplatelet drug
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c. Lifestyle changes such as smoking cessation
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d. Self-care for managing chronic conditions, such as diabetes
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e. Increased risk for stroke and signs/ symptoms
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3. The home health nurse is assessing a patient who had a stroke that affected
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the right hemisphere. What would the nurse expect to observe?
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a. Patient is overly anxious and cautious when asked to do a new task.
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b. Patient is euphoric and smiling but disoriented to person, place, and time.
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,c. Patient is depressed and expresses ongoing worries about the future.
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d. Patient has a flat affect but is able to answer most questions appropriately. -
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CORRECT ANSWERS ✔✔b. Patient is euphoric and smiling but disoriented to
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person, place, and time.
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4. The nurse is assessing a patient who was brought to the emergency
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department for altered mental status. In the absence of family members or
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witnesses to give a history, what does the nurse do to identify two conditions
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that could mimic emergent neurologic conditions?
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a. Check skin turgor and perform a bladder scan.
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b. Check blood glucose and oxygen saturation.
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C. Observe for jugular vein distention and pitting edema.
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d. Observe for jaundice and abdominal distention. - CORRECT ANSWERS
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✔✔b. Check blood glucose and oxygen saturation.
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5. Following a left cerebral hemisphere stroke, the patient has expressive
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(Broca's) aphasia. Which intervention is best to use when communicating
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with this patient? \| \| \|
a. Repeat the names of objects on a routine basis.
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, b. Face the patient and speak slowly and clearly.
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C. Obtain a whiteboard with an erasable marker.
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d. Use a picture board that displays objects and activities. - CORRECT
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ANSWERS ✔✔d. Use a picture board that displays objects and activities.
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6. The nurse is caring for a patient with right cerebral hemisphere damage.
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The patient demonstrates disorientation to time and place and neglect of the
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left visual field, and he has poor depth perception. Which task is best
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delegated to unlicensed assistive personnel?
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a. Move the patient's bed so that his affected side faces the door.
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b. Teach the patient to wash both sides of his face.
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C. Ensure a safe environment by removing clutter.
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d. Suggest to the family that they bring familiar family photos. - CORRECT
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ANSWERS ✔✔C. Ensure a safe environment by removing clutter.
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7. A patient with a right cerebral hemisphere stroke may have safety issues
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related to which factor? \| \| \| \|
with correct answers \| \|
1. Which clinical finding could help the health care team differentiate a
\| \| \| \| \| \| \| \| \| \| \| \|
transient ischemic attack from a stroke?
\| \| \| \| \| \|
a. Patient has a unilateral facial droop.
\| \| \| \| \| \| \|
b. Patient has slurred speech.
\| \| \| \| \|
C. Symptoms resolve in 30-60 minutes.
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d. Electrocardiogram is normal. - CORRECT ANSWERS ✔✔C. Symptoms
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resolve in 30-60 minutes.
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2. The nurse is preparing to discharge a patient 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 for stroke and signs/ symptoms
\| \| \| \| \| \| \| \|
f. Benefits of taking vitamin supplements - CORRECT ANSWERS ✔✔a.
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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 for stroke and signs/ symptoms
\| \| \| \| \| \| \|
3. The home health nurse is assessing a patient who had a stroke that affected
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
the right hemisphere. What would the nurse expect to observe?
\| \| \| \| \| \| \| \| \| \|
a. Patient is overly anxious and cautious when asked to do a new task.
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
b. Patient is euphoric and smiling but disoriented to person, place, and time.
\| \| \| \| \| \| \| \| \| \| \| \| \|
,c. Patient is depressed and expresses ongoing worries about the future.
\| \| \| \| \| \| \| \| \| \| \|
d. Patient has a flat affect but is able to answer most questions appropriately. -
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CORRECT ANSWERS ✔✔b. Patient is euphoric and smiling but disoriented to
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person, place, and time.
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4. The nurse is assessing a patient who was brought to the emergency
\| \| \| \| \| \| \| \| \| \| \| \| \|
department 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. - CORRECT ANSWERS
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✔✔b. Check blood glucose and oxygen saturation.
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5. Following a left cerebral hemisphere stroke, the patient 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 patient and speak slowly and clearly.
\| \| \| \| \| \| \| \| \|
C. Obtain a whiteboard with an erasable marker.
\| \| \| \| \| \| \| \|
d. Use a picture board that displays objects and activities. - CORRECT
\| \| \| \| \| \| \| \| \| \| \| \|
ANSWERS ✔✔d. Use a picture board that displays objects and activities.
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6. The nurse is caring for a patient with right cerebral hemisphere damage.
\| \| \| \| \| \| \| \| \| \| \| \| \|
The patient 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 unlicensed assistive personnel?
\| \| \| \| \|
a. Move the patient's bed so that his affected side faces the door.
\| \| \| \| \| \| \| \| \| \| \| \| \|
b. Teach the patient to wash both sides of his face.
\| \| \| \| \| \| \| \| \| \| \|
C. Ensure a safe environment by removing clutter.
\| \| \| \| \| \| \| \|
d. Suggest to the family that they bring familiar family photos. - CORRECT
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ANSWERS ✔✔C. Ensure a safe environment by removing clutter.
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7. A patient with a right cerebral hemisphere stroke may have safety issues
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related to which factor? \| \| \| \|
