MoARc PSD |68
NUR 170 UNIT 3 & 4 EXAM 2 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | GRADED A+ | NEW UPDATE 2025-
2026
, Increased Intercranial Pressure (ICP)
• •
• •
• •
• • MRI
•
•
•
•
• •
•
• •
• •
o
o •
•
o
• •
•
•
•
•
•
•
•
, Cerebrovascular Accident (CVA) aka STROKE
Area of the brain deprived of Care
blood/O2 • Assess within 10 minutes.
• Notify CODE STROKE o B – balance
1. Ischemic stroke – blockage altered o E – eyes/vision altered o F
2. Hemorrhagic stroke – rupture – face droop o A – arm
3. Transient Ischemic Attack numbness/weak o S – speech
(TIA) mini stroke, temporary difficulty o T – time symptoms began
• Lower HOB to maintain perfusion for
loss of blood flow.
Ischemic stroke.
May be categorized by which artery
• Hemorrhagic – Raise HOB.
Causes • EKG to assess arrhythmias • VS (BP!)
• Reversable/Modifiable o Smoking, • PT, ST, OT, rehab, safety, edu.
obesity, high salt diet, sedentary • NPO until ST does swallow eval.
lifestyle, stress, birth control pills,
high cholesterol, high BP, diabetes, a- IV fibrinolytic therapy - TPA therapy
fib. (Alteplase)
• Other o Sex, age, race, for Ischemic stroke – clot busting
hereditary dysrhythmias, • Within 4.5 hours of symptoms – if
sickle cell. unknown then they don't give it
• Carotid Stenosis , atherosclerosis • Placed on bleeding precautions for
24 hours
Diagnose • Exclusions from time frame: age,
• CT Scan anticoagulant use, severity of stroke.
o Ischemic will not show • If BP 185/110 give IV
ischemic area right away. o antihypertensives first. Give
Hemorrhagic will show antihypertensive to get BP down
bleeding. before Alteplase.
• National Institutes of Health Stroke
Scale (NIHSS) • Embolectomy – surgically remove
• Might see elevated H&H clot
• Reassess patient every 1 to 4 hours
due to increased risk for ICP.
• Cerebral edema after stroke which
• Ischemic – clear the clot then
Cerebrovascular Accident (CVA) aka STROKE
causes ICP. o Monitor for ICP. o STAT anticoagulant if no bleeding from TPA
CT o p. 951-952 o Highest risk 72 • Hemorrhagic – stop the bleed.
hrs after stroke
NUR 170 UNIT 3 & 4 EXAM 2 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | GRADED A+ | NEW UPDATE 2025-
2026
, Increased Intercranial Pressure (ICP)
• •
• •
• •
• • MRI
•
•
•
•
• •
•
• •
• •
o
o •
•
o
• •
•
•
•
•
•
•
•
, Cerebrovascular Accident (CVA) aka STROKE
Area of the brain deprived of Care
blood/O2 • Assess within 10 minutes.
• Notify CODE STROKE o B – balance
1. Ischemic stroke – blockage altered o E – eyes/vision altered o F
2. Hemorrhagic stroke – rupture – face droop o A – arm
3. Transient Ischemic Attack numbness/weak o S – speech
(TIA) mini stroke, temporary difficulty o T – time symptoms began
• Lower HOB to maintain perfusion for
loss of blood flow.
Ischemic stroke.
May be categorized by which artery
• Hemorrhagic – Raise HOB.
Causes • EKG to assess arrhythmias • VS (BP!)
• Reversable/Modifiable o Smoking, • PT, ST, OT, rehab, safety, edu.
obesity, high salt diet, sedentary • NPO until ST does swallow eval.
lifestyle, stress, birth control pills,
high cholesterol, high BP, diabetes, a- IV fibrinolytic therapy - TPA therapy
fib. (Alteplase)
• Other o Sex, age, race, for Ischemic stroke – clot busting
hereditary dysrhythmias, • Within 4.5 hours of symptoms – if
sickle cell. unknown then they don't give it
• Carotid Stenosis , atherosclerosis • Placed on bleeding precautions for
24 hours
Diagnose • Exclusions from time frame: age,
• CT Scan anticoagulant use, severity of stroke.
o Ischemic will not show • If BP 185/110 give IV
ischemic area right away. o antihypertensives first. Give
Hemorrhagic will show antihypertensive to get BP down
bleeding. before Alteplase.
• National Institutes of Health Stroke
Scale (NIHSS) • Embolectomy – surgically remove
• Might see elevated H&H clot
• Reassess patient every 1 to 4 hours
due to increased risk for ICP.
• Cerebral edema after stroke which
• Ischemic – clear the clot then
Cerebrovascular Accident (CVA) aka STROKE
causes ICP. o Monitor for ICP. o STAT anticoagulant if no bleeding from TPA
CT o p. 951-952 o Highest risk 72 • Hemorrhagic – stop the bleed.
hrs after stroke
