Chapter 60- Nursing Management: Stroke Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Questions And Answers 2024 A+ Review Solution

Chapter 60- Nursing Management: Stroke Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Questions And Answers 2024 A+ Review Solution 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 The patient's symptoms are consistent with transient ischemic attack (TIA), and medications that inhibit platelet aggregation are prescribed after a TIA to prevent stroke. PTS: 1 DIF: Cognitive Level: Application REF: page 1676 OBJ: 3 TOP: Nursing Process: Planning MSC: CRNE: CH-44 4. Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the physician? a. The patient has atrial fibrillation. b. The patient has dysphasia. c. The patient states, "I suddenly developed a terrible headache." d. The patient has a history of brief episodes of right hemiplegia. - ANS: C A sudden-onset headache is typical of a subarachnoid hemorrhage and ruptured aneurysm; the physician should be notified immediately. PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1678, Safety Alert OBJ: 4 TOP: Nursing Process: Implementation MSC: CRNE: CH-61 5. A patient with a stroke caused by thrombosis of the middle cerebral artery experiences left-sided paralysis of the upper and lower extremities and facial drooping on the left side. When obtaining admission assessment data about the patient's clinical manifestations, it is most important for the nurse to assess which of the following? CONTINUES...