57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
1. A nurse is explaining 2
the National Institutes
of Health Stroke Scale "The NIHSS evaluates the effects of a stroke."
(NIHSS) to a graduate
The NIHSS is an assessment tool that evaluates the effects of a stroke in
nurse. Which statement
the areas of level of consciousness (LOC) and motor/sensory function,
best indicates that the
and measures stroke severity. It is not an invasive procedure, but an
graduate nurse under-
assessment that the health care team member performs. It has no
stands the purpose of
effect on preventing a second stroke. Although the data gained from
performing the NIHSS?
the NIHSS assessment may be used in research, the primary purpose
1
is for the assessment of the patient experiencing the stroke
"The NIHSS helps pre-
vent a second stroke."
2
"The NIHSS evaluates
the effects of a stroke."
3
"The NIHSS is used pri-
marily for research data
collection."
4
"The NIHSS is an inva-
sive procedure that mea-
sures stroke severity."
2. A patient is suspected of 2
having a subarachnoid
hemorrhage. For which Cerebral angiography
diagnostic test will the
is the most reliable diagnostic study to identify the source of subarach-
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
nurse prepare the pa- noid hemorrhage. This test helps identify cervical and cerebrovascular
tient, as the most reliable occlusions. Cardiac imaging, magnetic resonance angiography, and
diagnostic study to iden- computed tomography angiography are not as definitive for identifying
tify the source of sub- the source of subarachnoid hemorrhage.
arachnoid hemorrhage?
1
Cardiac imaging
2
Cerebral angiography
3
Magnetic resonance an-
giography
4
Computed tomography
angiography
3. The nurse is prepar- 4
ing a community stroke
awareness program. The African Americans
nurse knows that which
African Americans have twice the incidence of stroke related to hyper-
ethnic group has the
tension, obesity, and diabetes. Caucasians, Mexicans, and Asians have
highest incidence of
a lower risk of stroke than do African Americans.
stroke?
1
Asians
2
Mexicans
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
3
Caucasians
4
African Americans
4. A nurse is explaining 2
methods to reduce the
risk of stroke to a pa- Eat a diet low in saturated fats.
tient. What instructions
4
should the nurse convey
to the patient? Select all
Maintain a normal blood pressure (BP).
that apply.
5
1
Limit consumption of alcohol to moderate levels.
Limit fluid and fiber in-
take. Alcoholics and people with hypertension are prone to strokes. Hence,
2 alcohol consumption should be limited, a diet low in fat should be
consumed, and BP should be maintained. Also, physical exercise and
Eat a diet low in saturat-
adequate fluid and fiber intake will decrease the risk of stroke and
ed fats.
should be promoted
3
Decrease level of physi-
cal exercise.
4
Maintain a normal blood
pressure (BP).
5
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
Limit consumption of al-
cohol to moderate levels.
5. patient who sustained a 3
stroke is having a severe
headache, vomiting, dys- Intracerebral hemorrhage
phagia, dysarthria, and
Symptoms such as headaches, vomiting, dysphagia, dysarthria, and eye
eye movement distur-
movement disturbances indicate intracerebral hemorrhage. An embolic
bances. What type of
stroke is mostly related to heart conditions such as atrial fibrillation,
stroke does the nurse
myocardial infarction, and infective endocarditis. A thrombotic stroke
determine to correlate
has the clinical manifestation of decreased level of consciousness in the
with these clinical mani-
first 24 hours. Clinical manifestations such as stiff neck and cranial nerve
festations?
deficits indicate a subarachnoid hemorrhage.
1
Embolic stroke
2
Thrombotic stroke
3
Intracerebral hemor-
rhage
4
Subarachnoid hemor-
rhage
6. A patient has sus- An increase in hydrogen ion concentration
tained a head injury
and is suspected to An increase in hydrogen ion concentration results in increased cerebral
have increased intracra- blood flow. A decrease in blood viscosity will increase cerebral blood
nial pressure. Which fac- flow. An increase in carbon dioxide levels results in increased cerebral
Study online at https://quizlet.com/_3yvxm0
1. A nurse is explaining 2
the National Institutes
of Health Stroke Scale "The NIHSS evaluates the effects of a stroke."
(NIHSS) to a graduate
The NIHSS is an assessment tool that evaluates the effects of a stroke in
nurse. Which statement
the areas of level of consciousness (LOC) and motor/sensory function,
best indicates that the
and measures stroke severity. It is not an invasive procedure, but an
graduate nurse under-
assessment that the health care team member performs. It has no
stands the purpose of
effect on preventing a second stroke. Although the data gained from
performing the NIHSS?
the NIHSS assessment may be used in research, the primary purpose
1
is for the assessment of the patient experiencing the stroke
"The NIHSS helps pre-
vent a second stroke."
2
"The NIHSS evaluates
the effects of a stroke."
3
"The NIHSS is used pri-
marily for research data
collection."
4
"The NIHSS is an inva-
sive procedure that mea-
sures stroke severity."
2. A patient is suspected of 2
having a subarachnoid
hemorrhage. For which Cerebral angiography
diagnostic test will the
is the most reliable diagnostic study to identify the source of subarach-
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
nurse prepare the pa- noid hemorrhage. This test helps identify cervical and cerebrovascular
tient, as the most reliable occlusions. Cardiac imaging, magnetic resonance angiography, and
diagnostic study to iden- computed tomography angiography are not as definitive for identifying
tify the source of sub- the source of subarachnoid hemorrhage.
arachnoid hemorrhage?
1
Cardiac imaging
2
Cerebral angiography
3
Magnetic resonance an-
giography
4
Computed tomography
angiography
3. The nurse is prepar- 4
ing a community stroke
awareness program. The African Americans
nurse knows that which
African Americans have twice the incidence of stroke related to hyper-
ethnic group has the
tension, obesity, and diabetes. Caucasians, Mexicans, and Asians have
highest incidence of
a lower risk of stroke than do African Americans.
stroke?
1
Asians
2
Mexicans
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
3
Caucasians
4
African Americans
4. A nurse is explaining 2
methods to reduce the
risk of stroke to a pa- Eat a diet low in saturated fats.
tient. What instructions
4
should the nurse convey
to the patient? Select all
Maintain a normal blood pressure (BP).
that apply.
5
1
Limit consumption of alcohol to moderate levels.
Limit fluid and fiber in-
take. Alcoholics and people with hypertension are prone to strokes. Hence,
2 alcohol consumption should be limited, a diet low in fat should be
consumed, and BP should be maintained. Also, physical exercise and
Eat a diet low in saturat-
adequate fluid and fiber intake will decrease the risk of stroke and
ed fats.
should be promoted
3
Decrease level of physi-
cal exercise.
4
Maintain a normal blood
pressure (BP).
5
, 57: Stroke Evolve
Study online at https://quizlet.com/_3yvxm0
Limit consumption of al-
cohol to moderate levels.
5. patient who sustained a 3
stroke is having a severe
headache, vomiting, dys- Intracerebral hemorrhage
phagia, dysarthria, and
Symptoms such as headaches, vomiting, dysphagia, dysarthria, and eye
eye movement distur-
movement disturbances indicate intracerebral hemorrhage. An embolic
bances. What type of
stroke is mostly related to heart conditions such as atrial fibrillation,
stroke does the nurse
myocardial infarction, and infective endocarditis. A thrombotic stroke
determine to correlate
has the clinical manifestation of decreased level of consciousness in the
with these clinical mani-
first 24 hours. Clinical manifestations such as stiff neck and cranial nerve
festations?
deficits indicate a subarachnoid hemorrhage.
1
Embolic stroke
2
Thrombotic stroke
3
Intracerebral hemor-
rhage
4
Subarachnoid hemor-
rhage
6. A patient has sus- An increase in hydrogen ion concentration
tained a head injury
and is suspected to An increase in hydrogen ion concentration results in increased cerebral
have increased intracra- blood flow. A decrease in blood viscosity will increase cerebral blood
nial pressure. Which fac- flow. An increase in carbon dioxide levels results in increased cerebral
