Chapter 60: Nursing Management: Stroke Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam 2023 Questions and Answers(A+ Solution guide)

1. The nurse obtains all of the following information about a 65-year-old patient in the clinic. When developing a plan to decrease stroke risk, which risk factor is most important for the nurse to address? a. The patient smokes a pack of cigarettes daily. b. The patient's blood pressure is chronically between 150/80 and 170/90 mm Hg. c. The patient works at a desk and relaxes by watching television. d. The patient is 11.3 kg above the ideal weight. - ANS: B Hypertension is the most important modifiable risk factor. PTS: 1 DIF: Cognitive Level: Application REF: page 1674 OBJ: 1 TOP: Nursing Process: Planning MSC: CRNE: HW-2 2. A patient with right-sided weakness that started 1 hour ago is admitted to the emergency department, and the following diagnostic tests are ordered. Which order should the nurse act on first? a. Chest radiograph b. Electrocardiogram c. Complete blood count d. Noncontrast computed tomography (CT) scan - ANS: D Rapid screening with a noncontrast CT scan is needed before administration of tissue plasminogen activator (tPA), which must be given within 3 hours of the onset of clinical manifestations of the stroke. PTS: 1 DIF: Cognitive Level: Application REF: page 1680 OBJ: 5 TOP: Nursing Process: Implementation MSC: CRNE: CH-61 3. The nurse expects that management of the patient who experiences a brief episode of tinnitus, diplopia, and dysarthria with no residual effects will include which of the following treatments?a. Oral administration of clopidogrel (Plavix) b. Heparin via continuous intravenous (IV) infusion c. Prophylactic clipping of cerebral aneurysms d. Therapy with tPA - ANS: A