CAV (stroke) practice questions With Complete Solutions

The nurse is reviewing interventions aimed at maintaining cerebral perfusion in a client who had a thrombotic stroke. Which intervention should the nurse question? A.Placing the client in a side-lying position B.Monitoring mental status and level of consciousness C.Monitoring respiratory status D.Encouraging active range-of-motion exercises correct answer: D. encouraging active ROM exercises Active range-of-motion exercises promote physical mobility but will not directly assist in maintaining cerebral perfusion. The initial focus of care is to identify changes in airway, breathing, and circulation that could indicate decreased cerebral perfusion. Maintaining adequate oxygenation and positioning to facilitate breathing is appropriate. You're educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition:* A. TIAs are caused by a temporary decrease in blood flow to the brain. B. TIAs produce signs and symptoms that can last for several weeks to months. C. A TIAs is a warning sign that an impending stroke may occur. D. TIAs don't require medical treatment. correct answer: -B,D - TIAs produce warning signs and symptoms that can last for several weeks to months -TIAs dont require medicial attention. The answers are B and D. Options A and C are CORRECT statements about TIAs. However, option B is wrong because TIAs produce signs and symptoms that can last a few minutes to hours and resolve (NOT several weeks to months). Option D is wrong be TIAs do require medical treatment. You're patient has expressive aphasia. Select all the ways to effectively communicate with this patient?* A. Fill in the words for the patient they can't say. B. Don't repeat questions. C. Ask questions that require a simple response. D. Use a communication board. E. Discourage the patient from using words. correct answer: C,D - Ask questions that require a simple response use a communication board The answers are C and D. Patients with expressive aphasia can understand spoken words but can't respond back effectively or at all. Therefore be patient, let them speak, be direct and ask simple questions that require a simple response, and communicate with a dry erase board etc. While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as:* A. Dysarthria B. Apraxia C. Alexia D. Dysphagia correct answer: A. dysarthia Dysarthria is difficulty with muscle movements for speech You're reading the physician's history and physical assessment report. You note the physician wrote that the patient has apraxia. What assessment finding in your morning assessment correlates with this condition?* A. The patient is unable to read. B. The patient has limited vision in half of the visual field. C. The patient is unable to wink or move his arm to scratch his skin. D. The patient doesn't recognize a pencil or television. correct answer: C. the patient is unable to wink or move his arm to scratch his skin. Apraxia means the patient can't carry out motor function, even when strength and coordination are present You're assessing your patient's pupil size and vision after a