UNDERSTANDING MEDICAL-SURGICAL NURSING 5th Edition Chapter 49 (updated)

3, 5, 6. Diabetes, high cholesterol, and obesity are all treatable to reduce the risk of stroke. - Which of the following are modifiable risk factors that should be taught to patients at risk for stroke? Select all that apply. 1. Heredity 2. Age 3. Diabetes 4. Race 5. High cholesterol 6. Obesity 1, 2, 4 can all help reduce aspiration. Straws and placing food on the affected side (where the patient may not be aware of it) increase risk. - What interventions can help prevent aspiration in a poststroke patient with dysphagia? Select all that apply. 1. Ensure that patient is fully alert before feeding. 2. Place the patient in high-Fowler's position or chair for meals. 3. Use straws for thin liquids. 4. Use a thickening agent. 5. Place food on affected side of mouth. 4. Thrombolytic therapy must be given within 4.5 hours to reverse stroke symptoms and reduce the risk of complications. - How soon after symptom onset must a person who has had a stroke receive thrombolytic treatment? 1. 30 minutes 2. 1 hour 3. 2 hours 4. 4.5 hours 4. Receptive aphasia is difficulty receiving, or understanding, language, so use of gestures may help with communication needs. - How should the nurse communicate with the patient experiencing receptive aphasia? 1. Be patient as the patient tries to speak 2. Listen carefully, while making eye contact 3. Speak loudly toward the patient's good side 4. Use gestures, standing where the patient can see