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Exam (elaborations)

NURSING CARE OF CVA PATIENT QUESTIONS WITH CORRECT ANSWERS

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NURSING CARE OF CVA PATIENT QUESTIONS WITH CORRECT ANSWERS

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Describe nursing priorities for the CVA patient regarding optimal bodily function.


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Management of respiratory system - prevent aspiration & infection

Monitor neurological status

Maintain CV homeostasis


Prevent DVTs

Maintain optimal function of the musculoskeletal system

Good skin care, high risk for skin breakdown




Describe s/sy of increased ICP.

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Early:
ALOC
Ocular changes
Weakness, nausea


Late:
Worsening ALOC
Cushing's Triad (increased SBP, bradycardia, irregular respirations)
Pupils unequal, non-reactive
Projectile vomiting
Posturing, hyperthermia
Loss of brainstem reflexes




Explain the psychosocial impact of a stroke on the patient, caregiver, and family.


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Pt may have many losses, including sensory, intellectual, communicative,
functional, role behavior, emotional, social, & vocational losses.

Pt/family/caregiver often go through process of grief and mourning
associated w/ the losses.

Pt may develop long-term depression, anxiety, weight loss, fatigue, poor
appetite, & sleep problems




Describe TIA treatment.


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