NEURO - MED SURG SUCCESS EXAM
QUESTIONS AND ANSWERS 100% CORRECT!!
, 1. A 78-year-old client is admitted to the emergency department (ED) with numbness
and weakness of the left arm and slurred speech. Which nursing intervention is priority?
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA).
2. Discuss the precipitating factors that caused the symptoms.
3. Schedule for a STAT computed tomography (CT) scan of the head.
4. Notify the speech pathologist for an emergency consult. - ANSWER 3. A CT scan will
determine if the client is having a stroke or has a brain tumor or another neurological
disorder. If a CVA is diagnosed, the CT scan can determine if it is a hemorrhagic or an
ischemic
accident and guide treatment.
2. The nurse is assessing a client experiencing motor loss as a result of a left-sided
cerebrovascular accident (CVA). Which
clinical manifestation would the nurse document?
1. Hemiparesis of the client's left arm and apraxia.
2. Paralysis of the right side of the body and ataxia.
3. Homonymous hemianopsia and diplopia.
4. Impulsive behavior and hostility toward family. - ANSWER 2. The most common
motor dysfunction of a CVA is paralysis of one side of the body, hemiplegia; in this case
with a left-sided CVA, the paralysis would affect the right side. Ataxia is an impaired
ability to coordinate
movement.
3. Which client would the nurse identify as being most at risk for experiencing a
cerebrovascular accident (CVA)?
1. A 55-year-old African American male.
2. An 84-year-old Japanese female.
3. A 67-year-old Caucasian male.
4. A 39-year-old pregnant female. - ANSWER 1. African Americans have twice the rate
of
CVAs as Caucasians and men have a higher
incidence than women; African Americans
also suffer more extensive damage from
a CVA than do people of other cultural
groups.
4. The client diagnosed with a right-sided cerebrovascular accident is admitted to the
rehabilitation unit. Which interventions should be
included in the nursing care plan? Select all that apply.
QUESTIONS AND ANSWERS 100% CORRECT!!
, 1. A 78-year-old client is admitted to the emergency department (ED) with numbness
and weakness of the left arm and slurred speech. Which nursing intervention is priority?
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA).
2. Discuss the precipitating factors that caused the symptoms.
3. Schedule for a STAT computed tomography (CT) scan of the head.
4. Notify the speech pathologist for an emergency consult. - ANSWER 3. A CT scan will
determine if the client is having a stroke or has a brain tumor or another neurological
disorder. If a CVA is diagnosed, the CT scan can determine if it is a hemorrhagic or an
ischemic
accident and guide treatment.
2. The nurse is assessing a client experiencing motor loss as a result of a left-sided
cerebrovascular accident (CVA). Which
clinical manifestation would the nurse document?
1. Hemiparesis of the client's left arm and apraxia.
2. Paralysis of the right side of the body and ataxia.
3. Homonymous hemianopsia and diplopia.
4. Impulsive behavior and hostility toward family. - ANSWER 2. The most common
motor dysfunction of a CVA is paralysis of one side of the body, hemiplegia; in this case
with a left-sided CVA, the paralysis would affect the right side. Ataxia is an impaired
ability to coordinate
movement.
3. Which client would the nurse identify as being most at risk for experiencing a
cerebrovascular accident (CVA)?
1. A 55-year-old African American male.
2. An 84-year-old Japanese female.
3. A 67-year-old Caucasian male.
4. A 39-year-old pregnant female. - ANSWER 1. African Americans have twice the rate
of
CVAs as Caucasians and men have a higher
incidence than women; African Americans
also suffer more extensive damage from
a CVA than do people of other cultural
groups.
4. The client diagnosed with a right-sided cerebrovascular accident is admitted to the
rehabilitation unit. Which interventions should be
included in the nursing care plan? Select all that apply.
