nur 116 - Davis Advantage / Edge - Stroke
The nurse knows which interventions could be implemented for a stroke client at risk for aspiration?
Select all that apply.
-Maintain the head of the bed at least 30 degrees or greater while eating or drinking.
-Ensure that the client is receiving the prescribed therapeutic food preparation.
-Ensure the client is supervised while eating or drinking, observing for signs of aspiration and choking.
-Advocating for evaluation of the client by a speech language pathologist.
-Allow the client to watch television and visit with visitors while eating and drinking.
-Maintain the head of the bed at least 30 degrees or greater while eating or drinking.
-Ensure the client is supervised while eating or drinking, observing for signs of aspiration and choking.
-Advocating for evaluation of the client by a speech language pathologist.
The nurse is completing discharge teaching with the stroke client preparing for discharge. The client asks if the healthcare
provider will continue the medications prescribed pre-stroke for hypertension and high cholesterol. What is the nurse's
best response to this question?
-"High cholesterol and hypertension are risk factors for stroke. I would expect that the healthcare provider will continue
treating these two conditions with medication after discharge."
,-"Because you were taking these medications and still had a stroke, I doubt the healthcare provider will continue treating
these conditions."
-"Ask the healthcare provider next time rounds are made. I am not able to answer that question for you."
-"Let's just wait and see what is ordered when your discharge paperwork is completed by the healthcare provider. I will
address your questions at that time."
-"High cholesterol and hypertension are risk factors for stroke. I would expect that the healthcare provider will continue
treating these two conditions with medication after discharge."
We have an expert-written solution to this problem!
The nurse is explaining to the student nurse why it is important for the post-stroke client to maintain adequate blood
pressure readings. What is the nurse's best explanation?
"The client is able to rest more comfortably with blood pressure values in the normal range."
"When blood pressure values are too low, the kidneys have to work harder. This situation creates stress on the kidneys."
"After a stroke, cerebral autoregulation may not be working properly, and this intervention helps to protect the client's brain
from ischemia caused by abnormally low systemic blood pressure."
"If the blood pressure values are not within normal, the client must receive more medication to control the values.
"After a stroke, cerebral autoregulation may not be working properly, and this intervention helps to protect the client's brain
from ischemia caused by abnormally low systemic blood pressure."
The nurse would expect the client admitted for a stroke to be monitored for cardiac status. Which methods would the
nurse expect to see ordered for this purpose?
Select all that apply.
Cardiac enzymes per protocol
, Continuous electrocardiogram monitoring
Baseline 12-lead electrocardiogram
Cardiac catheterization
Placement of cardiac pacemaker
Cardiac enzymes per protocol
Continuous electrocardiogram monitoring
Baseline 12-lead electrocardiogram
We have an expert-written solution to this problem!
The nurse is caring for an unconscious client after a large ischemic stroke. Which assessment changes are most
concerning?
Select all that apply.
Rising systolic blood pressure
Bradycardia
Equal and reactive pupils
Irregular breathing pattern
Hypotension
The nurse knows which interventions could be implemented for a stroke client at risk for aspiration?
Select all that apply.
-Maintain the head of the bed at least 30 degrees or greater while eating or drinking.
-Ensure that the client is receiving the prescribed therapeutic food preparation.
-Ensure the client is supervised while eating or drinking, observing for signs of aspiration and choking.
-Advocating for evaluation of the client by a speech language pathologist.
-Allow the client to watch television and visit with visitors while eating and drinking.
-Maintain the head of the bed at least 30 degrees or greater while eating or drinking.
-Ensure the client is supervised while eating or drinking, observing for signs of aspiration and choking.
-Advocating for evaluation of the client by a speech language pathologist.
The nurse is completing discharge teaching with the stroke client preparing for discharge. The client asks if the healthcare
provider will continue the medications prescribed pre-stroke for hypertension and high cholesterol. What is the nurse's
best response to this question?
-"High cholesterol and hypertension are risk factors for stroke. I would expect that the healthcare provider will continue
treating these two conditions with medication after discharge."
,-"Because you were taking these medications and still had a stroke, I doubt the healthcare provider will continue treating
these conditions."
-"Ask the healthcare provider next time rounds are made. I am not able to answer that question for you."
-"Let's just wait and see what is ordered when your discharge paperwork is completed by the healthcare provider. I will
address your questions at that time."
-"High cholesterol and hypertension are risk factors for stroke. I would expect that the healthcare provider will continue
treating these two conditions with medication after discharge."
We have an expert-written solution to this problem!
The nurse is explaining to the student nurse why it is important for the post-stroke client to maintain adequate blood
pressure readings. What is the nurse's best explanation?
"The client is able to rest more comfortably with blood pressure values in the normal range."
"When blood pressure values are too low, the kidneys have to work harder. This situation creates stress on the kidneys."
"After a stroke, cerebral autoregulation may not be working properly, and this intervention helps to protect the client's brain
from ischemia caused by abnormally low systemic blood pressure."
"If the blood pressure values are not within normal, the client must receive more medication to control the values.
"After a stroke, cerebral autoregulation may not be working properly, and this intervention helps to protect the client's brain
from ischemia caused by abnormally low systemic blood pressure."
The nurse would expect the client admitted for a stroke to be monitored for cardiac status. Which methods would the
nurse expect to see ordered for this purpose?
Select all that apply.
Cardiac enzymes per protocol
, Continuous electrocardiogram monitoring
Baseline 12-lead electrocardiogram
Cardiac catheterization
Placement of cardiac pacemaker
Cardiac enzymes per protocol
Continuous electrocardiogram monitoring
Baseline 12-lead electrocardiogram
We have an expert-written solution to this problem!
The nurse is caring for an unconscious client after a large ischemic stroke. Which assessment changes are most
concerning?
Select all that apply.
Rising systolic blood pressure
Bradycardia
Equal and reactive pupils
Irregular breathing pattern
Hypotension
