CARING FOR CLIENTS WITH
CEREBROVASCULAR QUIZ WITH
VALIDATED QUESTIONS AND CORRECT
ANSWERS (NEWEST VERSION).
A client diagnosed with a cerebral aneurysm reports a severe headache to
the nurse. What action is a priority for the nurse?
a. Sit with the client for a few minutes.
b. Administer an analgesic.
c. Inform the nurse manager.
d. Call the health care provider immediately. - CorreCt Answers -d
A headache may be an indication that the aneurysm is leaking. The nurse
should notify the health care provider immediately. The health care
provider will decide whether administration of an analgesic is indicated.
Informing the nurse manager is not necessary. Sitting with the client is
appropriate, once the health care provider has been notified of the change
in the client's condition.
A client is diagnosed with a right-sided stroke. The client is now
experiencing hemianopsia. How might the nurse help the client manage her
potential sensory and perceptional difficulties?
a. Keep the lighting in the client's room low.
b. Place the client's clock on the affected side.
c. Approach the client on the side where vision is impaired.
,d. Place the client's extremities where she can see them. - CorreCt Answers
-d
The client with homonymous hemianopsia (loss of half of the visual field)
turns away from the affected side of the body and tends to neglect that side
and the space on that side; this is called amorphosynthesis. In such
instances, the client cannot see food on half of the tray, and only half of the
room is visible. It is important for the nurse to remind the client constantly
of the other side of the body, to maintain alignment of the extremities, and
if possible, to place the extremities where the client can see them. Clients
with a decreased field of vision should be approached on the side where
visual perception is intact. All visual stimuli (clock, calendar, and
television) should be placed on this side. The client can be taught to turn
the head in the direction of the defective visual field to compensate for this
loss. Increasing the natural or artificial lighting in the room and providing
eyeglasses are important in increasing vision. There is no reason to keep the
lights dim.
To meet the sensory needs of a client with viral meningitis, the nurse
should:
a. minimize exposure to bright lights and noise.
b. promote an active range of motion.
c. increase environmental stimuli.
d. avoid physical contact between the client and family members. - CorreCt
Answers -a
Photophobia and hypersensitivity to environmental stimuli are the
common clinical manifestations of meningeal irritation and infection.
,Therefore, the nurse should provide a calm environment with less stressful
stimuli. Physical activity may worsen symptoms; therefore, physical activity
should be reduced. Family members do not need to be avoided. People
diagnosed with viral meningitis should be instructed to thoroughly wash
hands frequently.
A neurologic nurse is reviewing seizures with a group of staff nurses. How
should this nurse best describe the cause of a seizure?
a. Sudden electrolyte changes throughout the brain
b. A dysrhythmia in the peripheral nervous system
c. A dysrhythmia in the nerve cells in one section of the brain
d. Sudden disruptions in the blood flow throughout the brain - CorreCt
Answers -c
The underlying cause of a seizure is an electrical disturbance (dysrhythmia)
in the nerve cells in one section of the brain; these cells emit abnormal,
recurring, uncontrolled electrical discharges. Seizures are not caused by
changes in blood flow or electrolytes.
A nurse is collaborating with the interdisciplinary team to help manage a
client's recurrent headaches. What aspect of the client's health history
should the nurse identify as a potential contributor to the client's
headaches?
a. The client leads a sedentary lifestyle.
b. The client takes vitamin D and calcium supplements.
, c. The client takes vasodilators for the treatment of angina.
d. The client has a pattern of weight loss followed by weight gain. - CorreCt
Answers -c
Vasodilators are known to contribute to headaches. Weight fluctuations,
sedentary lifestyle, and vitamin supplements are not known to have this
effect.
A client with a new diagnosis of amyotrophic lateral sclerosis (ALS) is
overwhelmed by his diagnosis and the known complications of the disease.
How can the client best make known his wishes for care as his disease
progresses?
a. Prepare an advance directive.
b. Designate a most responsible health care provider (MRP) early in the
course of the disease.
c. Collaborate with representatives from the Amyotrophic Lateral Sclerosis
Association.
d. Ensure that witnesses are present when he provides instruction. -
CorreCt Answers -a
Clients with ALS are encouraged to complete an advance directive or "living
will" to preserve their autonomy in decision making. None of the other
listed actions constitutes a legally binding statement of end-of-life care.
After a seizure, the nurse should place the patient in which of the following
positions to prevent complications?
CEREBROVASCULAR QUIZ WITH
VALIDATED QUESTIONS AND CORRECT
ANSWERS (NEWEST VERSION).
A client diagnosed with a cerebral aneurysm reports a severe headache to
the nurse. What action is a priority for the nurse?
a. Sit with the client for a few minutes.
b. Administer an analgesic.
c. Inform the nurse manager.
d. Call the health care provider immediately. - CorreCt Answers -d
A headache may be an indication that the aneurysm is leaking. The nurse
should notify the health care provider immediately. The health care
provider will decide whether administration of an analgesic is indicated.
Informing the nurse manager is not necessary. Sitting with the client is
appropriate, once the health care provider has been notified of the change
in the client's condition.
A client is diagnosed with a right-sided stroke. The client is now
experiencing hemianopsia. How might the nurse help the client manage her
potential sensory and perceptional difficulties?
a. Keep the lighting in the client's room low.
b. Place the client's clock on the affected side.
c. Approach the client on the side where vision is impaired.
,d. Place the client's extremities where she can see them. - CorreCt Answers
-d
The client with homonymous hemianopsia (loss of half of the visual field)
turns away from the affected side of the body and tends to neglect that side
and the space on that side; this is called amorphosynthesis. In such
instances, the client cannot see food on half of the tray, and only half of the
room is visible. It is important for the nurse to remind the client constantly
of the other side of the body, to maintain alignment of the extremities, and
if possible, to place the extremities where the client can see them. Clients
with a decreased field of vision should be approached on the side where
visual perception is intact. All visual stimuli (clock, calendar, and
television) should be placed on this side. The client can be taught to turn
the head in the direction of the defective visual field to compensate for this
loss. Increasing the natural or artificial lighting in the room and providing
eyeglasses are important in increasing vision. There is no reason to keep the
lights dim.
To meet the sensory needs of a client with viral meningitis, the nurse
should:
a. minimize exposure to bright lights and noise.
b. promote an active range of motion.
c. increase environmental stimuli.
d. avoid physical contact between the client and family members. - CorreCt
Answers -a
Photophobia and hypersensitivity to environmental stimuli are the
common clinical manifestations of meningeal irritation and infection.
,Therefore, the nurse should provide a calm environment with less stressful
stimuli. Physical activity may worsen symptoms; therefore, physical activity
should be reduced. Family members do not need to be avoided. People
diagnosed with viral meningitis should be instructed to thoroughly wash
hands frequently.
A neurologic nurse is reviewing seizures with a group of staff nurses. How
should this nurse best describe the cause of a seizure?
a. Sudden electrolyte changes throughout the brain
b. A dysrhythmia in the peripheral nervous system
c. A dysrhythmia in the nerve cells in one section of the brain
d. Sudden disruptions in the blood flow throughout the brain - CorreCt
Answers -c
The underlying cause of a seizure is an electrical disturbance (dysrhythmia)
in the nerve cells in one section of the brain; these cells emit abnormal,
recurring, uncontrolled electrical discharges. Seizures are not caused by
changes in blood flow or electrolytes.
A nurse is collaborating with the interdisciplinary team to help manage a
client's recurrent headaches. What aspect of the client's health history
should the nurse identify as a potential contributor to the client's
headaches?
a. The client leads a sedentary lifestyle.
b. The client takes vitamin D and calcium supplements.
, c. The client takes vasodilators for the treatment of angina.
d. The client has a pattern of weight loss followed by weight gain. - CorreCt
Answers -c
Vasodilators are known to contribute to headaches. Weight fluctuations,
sedentary lifestyle, and vitamin supplements are not known to have this
effect.
A client with a new diagnosis of amyotrophic lateral sclerosis (ALS) is
overwhelmed by his diagnosis and the known complications of the disease.
How can the client best make known his wishes for care as his disease
progresses?
a. Prepare an advance directive.
b. Designate a most responsible health care provider (MRP) early in the
course of the disease.
c. Collaborate with representatives from the Amyotrophic Lateral Sclerosis
Association.
d. Ensure that witnesses are present when he provides instruction. -
CorreCt Answers -a
Clients with ALS are encouraged to complete an advance directive or "living
will" to preserve their autonomy in decision making. None of the other
listed actions constitutes a legally binding statement of end-of-life care.
After a seizure, the nurse should place the patient in which of the following
positions to prevent complications?
