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HEMISPHERES VII DISCHARGE CONSIDERATIONS AND STROKE PREVENTION EXAM

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Hemispheres Level VII focuses on preparing the stroke patient for discharge and preventing future strokes. At this stage, nursing care emphasizes patient education, safe transition to home or rehabilitation, medication adherence, risk-factor management, and lifestyle modification. The goal is to ensure the patient can maintain health independently, recognize warning signs of stroke, and reduce the risk of recurrence.

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HEMISPHERES VII DISCHARGE
CONSIDERATIONS AND STROKE
PREVENTION EXAM

What information is pertinent to a neurological specific history and physical? -
ANS -LKW


What best response categorizes are combined for the GCS? - ANS -eyes, verbal,
motor


Which high risk neurological event should you be concerned about when your
patient exhibits symptoms of Cushing’s triad? - ANS -cerebral herniation


what specifically does a level of consciousness exam assess? - ANS -arousal and
awareness


what should be considered when testing for visual acuity? - ANS -patient’s literacy
level


which exam finding in the unconscious patient is associated with intact brainstem
function? - ANS -dolls eyes reflex


what is a normal pupillary finding in reaction to light? - ANS -constriction

, which vision test measures a patient’s ability to see objects in their periphery? -
ANS -visual field


what abnormal pupillary function finding may indicate narcotic overdose? - ANS -
pinpoint


what test is utilized to evaluate superficial sensation? - ANS -light touch


what test should be performed to assess coordination of upper extremities? - ANS
-finger nose


which reflexive motor response is noted with abnormal extension of upper and
lower extremities? - ANS -decelerate


what type of communication disorder results from impairment of speech
muscles? - ANS -dysarthria


which type of aphasia is characterized by laborious speech and poor word
formation? - ANS -expressive (broke)


what type of dysphasia assessment has a pass/fail finding - ANS -dysphasia?


when can a stroke patient with dysphasia expect the majority of swallowing
function to return - ANS -1 week


what type of dysphasia evaluation is used to determine eating and feeding
recommendations? - ANS -clinical swallowing evaluation

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