Evolve - Stroke Management
Study online at https://quizlet.com/_4prxmb
1. The registered nurse is teaching a student nurse about "I will try to force commu-
the proper way to communicate with a patient who has nication with the patient if
aphasia due to a stroke. Which statement made by the the patient is upset."
student nurse indicates a need for further learning?
2. The relatives of a patient suspected of having a stroke MRI helps to identify the
are concerned, because the doctor has asked the pa- likely causes of stroke.
tient to undergo magnetic resonance imaging (MRI).
What information will be included when explaining to MRI helps to differentiate
the relatives the importance of undergoing MRI? between a stroke and any
other brain lesion.
multiple selection
3. A patient with known history of hypertension presents Obtain a computed tomo-
to the emergency department with the complaint of graphic (CT) scan.
sudden severe headache with no known cause. What
should the nurse do first?
4. A patient has been given an intraarterial infusion of Monitor VS
tissue plasminogen activator (tPA) for ischemic stroke.
What are the responsibilities of the nurse for 24 hours Check BP
post treatment?
5. A patient has suffered a right-brain stroke. What Avoid using vests.
should the nurse include in the safety measures imme-
diately after the stroke? Elevate the side rails.
Use video monitors to ob-
serve the patient continu-
ously.
6. While assessing a patient with paralysis due to a hem- Changing the patient's po-
orrhagic stroke, the registered nurse finds redness of sition
, Evolve - Stroke Management
Study online at https://quizlet.com/_4prxmb
the patient's skin. What would be the most appropriate
intervention to prevent complications in the patient?
7. The nurse is teaching a student nurse about imple- "I will provide an adequate
menting a bladder retraining program for a patient amount of fluid to the pa-
who sustained a hemorrhagic stroke. Which statement tient between 5:00 AM and
made by the student nurse indicates the need for fur- 9:00 PM."
ther teaching?
8. A patient presents to the emergency department re- Prepare patient for trans-
porting a sudden onset of headache described as "the port to computed tomog-
worse headache ever." The patient also reports nausea raphy (CT) scan.
and visual disturbances. What collaborative interven-
tion is a priority for the nurse?
9. A patient with hemorrhagic stroke has undergone Start dopamine (In-
aneurysmal occlusion via clipping and has a blood otropin).
pressure of 90/60 mm Hg. What should be included in
postoperative care of the patient? Encourage fluid intake.
Start crystalloid solution to
achieve volume expansion.
10. The nurse is feeding a patient by mouth for the first Crushed ice
time after a stroke. What should the nurse feed the
patient at this first feeding?
11. A nurse is delegating responsibilities to unlicensed Measure and record urine
assistive personnel for caring for a patient who has output
suffered from a stroke this morning. What responsibil-
ities will the nurse assign? Perform passive and active
range-of-motion exercises
12.
Study online at https://quizlet.com/_4prxmb
1. The registered nurse is teaching a student nurse about "I will try to force commu-
the proper way to communicate with a patient who has nication with the patient if
aphasia due to a stroke. Which statement made by the the patient is upset."
student nurse indicates a need for further learning?
2. The relatives of a patient suspected of having a stroke MRI helps to identify the
are concerned, because the doctor has asked the pa- likely causes of stroke.
tient to undergo magnetic resonance imaging (MRI).
What information will be included when explaining to MRI helps to differentiate
the relatives the importance of undergoing MRI? between a stroke and any
other brain lesion.
multiple selection
3. A patient with known history of hypertension presents Obtain a computed tomo-
to the emergency department with the complaint of graphic (CT) scan.
sudden severe headache with no known cause. What
should the nurse do first?
4. A patient has been given an intraarterial infusion of Monitor VS
tissue plasminogen activator (tPA) for ischemic stroke.
What are the responsibilities of the nurse for 24 hours Check BP
post treatment?
5. A patient has suffered a right-brain stroke. What Avoid using vests.
should the nurse include in the safety measures imme-
diately after the stroke? Elevate the side rails.
Use video monitors to ob-
serve the patient continu-
ously.
6. While assessing a patient with paralysis due to a hem- Changing the patient's po-
orrhagic stroke, the registered nurse finds redness of sition
, Evolve - Stroke Management
Study online at https://quizlet.com/_4prxmb
the patient's skin. What would be the most appropriate
intervention to prevent complications in the patient?
7. The nurse is teaching a student nurse about imple- "I will provide an adequate
menting a bladder retraining program for a patient amount of fluid to the pa-
who sustained a hemorrhagic stroke. Which statement tient between 5:00 AM and
made by the student nurse indicates the need for fur- 9:00 PM."
ther teaching?
8. A patient presents to the emergency department re- Prepare patient for trans-
porting a sudden onset of headache described as "the port to computed tomog-
worse headache ever." The patient also reports nausea raphy (CT) scan.
and visual disturbances. What collaborative interven-
tion is a priority for the nurse?
9. A patient with hemorrhagic stroke has undergone Start dopamine (In-
aneurysmal occlusion via clipping and has a blood otropin).
pressure of 90/60 mm Hg. What should be included in
postoperative care of the patient? Encourage fluid intake.
Start crystalloid solution to
achieve volume expansion.
10. The nurse is feeding a patient by mouth for the first Crushed ice
time after a stroke. What should the nurse feed the
patient at this first feeding?
11. A nurse is delegating responsibilities to unlicensed Measure and record urine
assistive personnel for caring for a patient who has output
suffered from a stroke this morning. What responsibil-
ities will the nurse assign? Perform passive and active
range-of-motion exercises
12.
