MED SURG 3 FINAL
st st st
1.stAstclientstsuffersstaststroke,stinstwhichstspeechstisstaffected,stpt.sthasstexpressi
vestaphasia,stfamilystwantssttostknowstwhatstitstmeans.stWhatstwillstbestthestmosts
taccurate?
a.stInabilitysttostcomprehendstspeechst
b.stNormalstspeechstexceptstdifficultystfindingstwords
c.stImpairedstrepetitionsstofstspeech
d.stChararactziedstbystinabilitysttostcommunicationstspontaneouslyst-
stcorrectstanswer✔ ✔ D
2.stCausesstofsthemorrhagicststroke?
a.stEmbolic
b.stThrombi,
c.stIschemia
d.stRupturestofstintracerebralstvesselst-stcorrectstanswer✔ ✔ D
3.stWhatstwillstbestastcontraindicationsttostthromobytics?
Astpriorststrokestinst3stmonthsst
BPstoverst185/100
UTI
,TherapeuticstINRst-stcorrectstanswer✔ ✔ Astpriorststrokestinst3stmonths
4.stYoustarestteachingstsomeonestwhosthasstIschemicststrokestaboutstAspirin?st
Howstdostyoustknowstteachingstwassteffective?
IstwillsttakestmystaspirinstwheneverstIsthaveststrokestsymptoms,st(notstPRN)
Aspirinstthinsstmystbloodstlikestanticoagulants
Aspirinstpreventsstfromststickingsttogether
IstwillstcheckstmystINR.st-stcorrectstanswer✔ ✔
Aspirinstpreventsstfromststickingsttogether
5.stPatientsthasstsymptomsstofststroke,sttheystarestgoingsttosthavestastCTstscan,stw
hatstisstthestrationale?
Theystdeterminestthesteffectivenessstofstcerebralstcirculation
Theystevaluatessthowstmuchstbrainstswolleningstisstassociatedstwithststroke
Itstpinpointsstthestexactstareastofstthestbrainstaffectedstbyststroke
ProvidessttreatmentstbystdifferentiatingsthemorrhagicstfromstIschemicst-
stcorrectstanswer✔ ✔
ProvidessttreatmentstbystdifferentiatingsthemorrhagicstfromstIschemic
, 6.stPtsthasstrecentstTIAst(rememberstslidestforstTIAstVRSstCVA),stwhichstofstthes
tf.fstwillstbestastfuturestcomplications
TIAstarestcausedstbystsmallstbleedsstthatstcanstbestastwarningstsignstofstimpendin
gststrokes
TIAstdoesn'tstnotstresolvestinstbrainstcellstdeathsttissuestandstincreasestthestriskstf
orststrokes
Allstbenignstsignsstthatstrequiresstmonitoringstbutstnosttreatment
Accumulationstofstsmallstdeficitsstthatstwillsteventuallyst.....st-stcorrectstanswer
✔ ✔
TIAstdoesn'tstnotstresolvestinstbrainstcellstdeathsttissuestandstincreasestthestrisks
tforststrokes
7.stAstnursestisstobservingstinteractionsstbetweenstastpt.stwhosthasstexpressivesta
phasiaststrovestpt.standstfamilystmembers,stwhichstofstthesestwillstrequirestthestn
ursesttostspeaksttostthestfamilystmemberssthowsttosteffectivelystcommunicatestto
stthestpt.st(Meansstwhatstthestfamilystisstdoingstisstincorrect)
Thestfamilystmemberstisstspeakingstfaststwithstastloudstvoice
Familystmemberstusesstcommunicationstboard
Memberstexpressesstonestthoughtstatstasttime
FamilystmemberstusesstnursingstSLPstasstastresourcestforstproblemsst-
stcorrectstanswer✔ ✔
Thestfamilystmemberstisstspeakingstfaststwithstastloudstvoice
st st st
1.stAstclientstsuffersstaststroke,stinstwhichstspeechstisstaffected,stpt.sthasstexpressi
vestaphasia,stfamilystwantssttostknowstwhatstitstmeans.stWhatstwillstbestthestmosts
taccurate?
a.stInabilitysttostcomprehendstspeechst
b.stNormalstspeechstexceptstdifficultystfindingstwords
c.stImpairedstrepetitionsstofstspeech
d.stChararactziedstbystinabilitysttostcommunicationstspontaneouslyst-
stcorrectstanswer✔ ✔ D
2.stCausesstofsthemorrhagicststroke?
a.stEmbolic
b.stThrombi,
c.stIschemia
d.stRupturestofstintracerebralstvesselst-stcorrectstanswer✔ ✔ D
3.stWhatstwillstbestastcontraindicationsttostthromobytics?
Astpriorststrokestinst3stmonthsst
BPstoverst185/100
UTI
,TherapeuticstINRst-stcorrectstanswer✔ ✔ Astpriorststrokestinst3stmonths
4.stYoustarestteachingstsomeonestwhosthasstIschemicststrokestaboutstAspirin?st
Howstdostyoustknowstteachingstwassteffective?
IstwillsttakestmystaspirinstwheneverstIsthaveststrokestsymptoms,st(notstPRN)
Aspirinstthinsstmystbloodstlikestanticoagulants
Aspirinstpreventsstfromststickingsttogether
IstwillstcheckstmystINR.st-stcorrectstanswer✔ ✔
Aspirinstpreventsstfromststickingsttogether
5.stPatientsthasstsymptomsstofststroke,sttheystarestgoingsttosthavestastCTstscan,stw
hatstisstthestrationale?
Theystdeterminestthesteffectivenessstofstcerebralstcirculation
Theystevaluatessthowstmuchstbrainstswolleningstisstassociatedstwithststroke
Itstpinpointsstthestexactstareastofstthestbrainstaffectedstbyststroke
ProvidessttreatmentstbystdifferentiatingsthemorrhagicstfromstIschemicst-
stcorrectstanswer✔ ✔
ProvidessttreatmentstbystdifferentiatingsthemorrhagicstfromstIschemic
, 6.stPtsthasstrecentstTIAst(rememberstslidestforstTIAstVRSstCVA),stwhichstofstthes
tf.fstwillstbestastfuturestcomplications
TIAstarestcausedstbystsmallstbleedsstthatstcanstbestastwarningstsignstofstimpendin
gststrokes
TIAstdoesn'tstnotstresolvestinstbrainstcellstdeathsttissuestandstincreasestthestriskstf
orststrokes
Allstbenignstsignsstthatstrequiresstmonitoringstbutstnosttreatment
Accumulationstofstsmallstdeficitsstthatstwillsteventuallyst.....st-stcorrectstanswer
✔ ✔
TIAstdoesn'tstnotstresolvestinstbrainstcellstdeathsttissuestandstincreasestthestrisks
tforststrokes
7.stAstnursestisstobservingstinteractionsstbetweenstastpt.stwhosthasstexpressivesta
phasiaststrovestpt.standstfamilystmembers,stwhichstofstthesestwillstrequirestthestn
ursesttostspeaksttostthestfamilystmemberssthowsttosteffectivelystcommunicatestto
stthestpt.st(Meansstwhatstthestfamilystisstdoingstisstincorrect)
Thestfamilystmemberstisstspeakingstfaststwithstastloudstvoice
Familystmemberstusesstcommunicationstboard
Memberstexpressesstonestthoughtstatstasttime
FamilystmemberstusesstnursingstSLPstasstastresourcestforstproblemsst-
stcorrectstanswer✔ ✔
Thestfamilystmemberstisstspeakingstfaststwithstastloudstvoice
