Stroke - Practice Questions & Answers Latest Update 100% Verified
Science Medicine Nursing
Stroke - Practice Questions & Answers Latest Update
100% Verified
Terms in this set (74)
After a patient experienced a brief c. oral low-dose aspirin therapy.
episode of tinnitus, diplopia, and
dysarthria with no residual effects, the The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs
nurse anticipates teaching the patient that inhibit platelet aggregation are prescribed after a TIA to prevent stroke.
about Continuous heparin infusion is not routinely used after TIA or with acute ischemic
stroke. The patient's symptoms are not consistent with a cerebral aneurysm. tPA is
a. cerebral aneurysm clipping. used only for acute ischemic stroke, not for TIA.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA).
A 68-year-old patient is being admitted c. The patient reports that symptoms began with a severe headache.
with a possible stroke. Which information
from the assessment indicates that the A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is
nurse should consult with the health care contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack (TIA) are
provider before giving the prescribed not contraindications to aspirin use, so the nurse can administer the aspirin.
aspirin?
a. The patient has dysphasia.
b. The patient has atrial fibrillation.
c. The patient reports that symptoms began
with a severe headache.
d. The patient has a history of brief
episodes of right-sided hemiplegia.
Stroke - Practice Questions & Answers Latest Update 100% Verified
,Stroke - Practice Questions & Answers Latest Update 100% Verified
A 73-year-old patient with a stroke d. Difficulty comprehending instructions
experiences facial drooping on the right
side and right-sided arm and leg Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with
paralysis. When admitting the patient, comprehension and use of language. The left-side reflexes are likely to be intact.
which clinical manifestation will the nurse Impulsive behavior and neglect are more likely with a right-side stroke.
expect to find?
a. Impulsive behavior
b. Right-sided neglect
c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions
During the change of shift report a nurse c. visual deficits.
is told that a patient has an occluded left
posterior cerebral artery. The nurse will Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia
anticipate that the patient may have occurs with middle cerebral artery involvement. Cognitive deficits and changes in
judgment are more typical of anterior cerebral artery occlusion.
a. dysphasia.
b. confusion.
c. visual deficits.
d. poor judgment.
When teaching about clopidogrel (Plavix), b. to call the health care provider if stools are tarry.
the nurse will tell the patient with cerebral
atherosclerosis Clopidogrel inhibits platelet function and increases the risk for gastrointestinal
bleeding, so patients should be advised to notify the health care provider about any
a. to monitor and record the blood signs of bleeding. The medication does not lower blood pressure, decrease plaque
pressure daily. formation, or dissolve
b. to call the health care provider if stools
are tarry.
c. that clopidogrel will dissolve clots in the
cerebral arteries.
d. that clopidogrel will reduce cerebral
artery plaque formation.
A patient with carotid atherosclerosis asks a. "The obstructing plaque is surgically removed from an artery in the neck."
the nurse to describe a carotid
endarterectomy. Which response by the In a carotid endarterectomy, the carotid artery is incised and the plaque is removed.
nurse is accurate? The response beginning, "The diseased portion of the artery in the brain is replaced"
describes an arterial graft procedure. The answer beginning, "A catheter with a
a. "The obstructing plaque is surgically deflated balloon is positioned at the narrow area" describes an angioplasty. The final
removed from an artery in the neck." response beginning, "A wire is threaded through the artery" describes the
b. "The diseased portion of the artery in the mechanical embolus removal in cerebral ischemia (MERCI) procedure.
brain is replaced with a synthetic graft."
c. "A wire is threaded through an artery in
the leg to the clots in the carotid artery and
the clots are removed."
d. "A catheter with a deflated balloon is
positioned at the narrow area, and the
balloon is inflated to flatten the plaque."
Stroke - Practice Questions & Answers Latest Update 100% Verified
, Stroke - Practice Questions & Answers Latest Update 100% Verified
A patient admitted with possible stroke d. Administer a labetalol (Normodyne) drip to keep BP less than 140/90 mm Hg.
has been aphasic for 3 hours and his
current blood pressure (BP) is 174/94 mm Because elevated BP may be a protective response to maintain cerebral perfusion,
Hg. Which order by the health care antihypertensive therapy is recommended only if mean arterial pressure (MAP) is
provider should the nurse question? >130 mm Hg or systolic pressure is >220 mm Hg. Fluid intake should be 1500 to 2000
mL daily to maintain cerebral blood flow. The head of the bed should be elevated to
a. Keep head of bed elevated at least 30 at least 30 degrees, unless the patient has symptoms of poor tissue perfusion. tPA
degrees. may be administered if the patient meets the other criteria for tPA use.
b. Infuse normal saline intravenously at 75
mL/hr.
c. Administer tissue plasminogen activator
(tPA) per protocol.
d. Administer a labetalol (Normodyne) drip
to keep BP less than 140/90 mm Hg.
A 56-year-old patient arrives in the d. tissue plasminogen activator (tPA) infusion.
emergency department with hemiparesis
and dysarthria that started 2 hours The patient's history and clinical manifestations suggest an acute ischemic stroke and
previously, and health records show a a patient who is seen within 4.5 hours of stroke onset is likely to receive tPA (after
history of several transient ischemic screening with a CT scan). Heparin administration in the emergency phase is not
attacks (TIAs). The nurse anticipates indicated. Emergent carotid transluminal angioplasty or endarterectomy is not
preparing the patient for indicated for the patient who is having an acute ischemic stroke.
a. surgical endarterectomy.
b. transluminal angioplasty.
c. intravenous heparin administration.
d. tissue plasminogen activator (tPA)
infusion.
A female patient who had a stroke 24 a. ask questions that the patient can answer with "yes" or "no."
hours ago has expressive aphasia. The
nurse identifies the nursing diagnosis of Communication will be facilitated and less frustrating to the patient when questions
impaired verbal communication. An that require a "yes" or "no" response are used. When the language areas of the brain
appropriate nursing intervention to help are injured, the patient might not be able to read or recite words, which will frustrate
the patient communicate is to the patient without improving communication. Expressive aphasia is caused by
damage to the language areas of the brain, not by the areas that control the motor
a. ask questions that the patient can answer aspects of speech. The nurse should allow time for the patient to respond.
with "yes" or "no."
b. develop a list of words that the patient
can read and practice reciting.
c. have the patient practice her facial and
tongue exercises with a mirror.
d. prevent embarrassing the patient by
answering for her if she does not respond.
Stroke - Practice Questions & Answers Latest Update 100% Verified
Science Medicine Nursing
Stroke - Practice Questions & Answers Latest Update
100% Verified
Terms in this set (74)
After a patient experienced a brief c. oral low-dose aspirin therapy.
episode of tinnitus, diplopia, and
dysarthria with no residual effects, the The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs
nurse anticipates teaching the patient that inhibit platelet aggregation are prescribed after a TIA to prevent stroke.
about Continuous heparin infusion is not routinely used after TIA or with acute ischemic
stroke. The patient's symptoms are not consistent with a cerebral aneurysm. tPA is
a. cerebral aneurysm clipping. used only for acute ischemic stroke, not for TIA.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA).
A 68-year-old patient is being admitted c. The patient reports that symptoms began with a severe headache.
with a possible stroke. Which information
from the assessment indicates that the A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is
nurse should consult with the health care contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack (TIA) are
provider before giving the prescribed not contraindications to aspirin use, so the nurse can administer the aspirin.
aspirin?
a. The patient has dysphasia.
b. The patient has atrial fibrillation.
c. The patient reports that symptoms began
with a severe headache.
d. The patient has a history of brief
episodes of right-sided hemiplegia.
Stroke - Practice Questions & Answers Latest Update 100% Verified
,Stroke - Practice Questions & Answers Latest Update 100% Verified
A 73-year-old patient with a stroke d. Difficulty comprehending instructions
experiences facial drooping on the right
side and right-sided arm and leg Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with
paralysis. When admitting the patient, comprehension and use of language. The left-side reflexes are likely to be intact.
which clinical manifestation will the nurse Impulsive behavior and neglect are more likely with a right-side stroke.
expect to find?
a. Impulsive behavior
b. Right-sided neglect
c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions
During the change of shift report a nurse c. visual deficits.
is told that a patient has an occluded left
posterior cerebral artery. The nurse will Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia
anticipate that the patient may have occurs with middle cerebral artery involvement. Cognitive deficits and changes in
judgment are more typical of anterior cerebral artery occlusion.
a. dysphasia.
b. confusion.
c. visual deficits.
d. poor judgment.
When teaching about clopidogrel (Plavix), b. to call the health care provider if stools are tarry.
the nurse will tell the patient with cerebral
atherosclerosis Clopidogrel inhibits platelet function and increases the risk for gastrointestinal
bleeding, so patients should be advised to notify the health care provider about any
a. to monitor and record the blood signs of bleeding. The medication does not lower blood pressure, decrease plaque
pressure daily. formation, or dissolve
b. to call the health care provider if stools
are tarry.
c. that clopidogrel will dissolve clots in the
cerebral arteries.
d. that clopidogrel will reduce cerebral
artery plaque formation.
A patient with carotid atherosclerosis asks a. "The obstructing plaque is surgically removed from an artery in the neck."
the nurse to describe a carotid
endarterectomy. Which response by the In a carotid endarterectomy, the carotid artery is incised and the plaque is removed.
nurse is accurate? The response beginning, "The diseased portion of the artery in the brain is replaced"
describes an arterial graft procedure. The answer beginning, "A catheter with a
a. "The obstructing plaque is surgically deflated balloon is positioned at the narrow area" describes an angioplasty. The final
removed from an artery in the neck." response beginning, "A wire is threaded through the artery" describes the
b. "The diseased portion of the artery in the mechanical embolus removal in cerebral ischemia (MERCI) procedure.
brain is replaced with a synthetic graft."
c. "A wire is threaded through an artery in
the leg to the clots in the carotid artery and
the clots are removed."
d. "A catheter with a deflated balloon is
positioned at the narrow area, and the
balloon is inflated to flatten the plaque."
Stroke - Practice Questions & Answers Latest Update 100% Verified
, Stroke - Practice Questions & Answers Latest Update 100% Verified
A patient admitted with possible stroke d. Administer a labetalol (Normodyne) drip to keep BP less than 140/90 mm Hg.
has been aphasic for 3 hours and his
current blood pressure (BP) is 174/94 mm Because elevated BP may be a protective response to maintain cerebral perfusion,
Hg. Which order by the health care antihypertensive therapy is recommended only if mean arterial pressure (MAP) is
provider should the nurse question? >130 mm Hg or systolic pressure is >220 mm Hg. Fluid intake should be 1500 to 2000
mL daily to maintain cerebral blood flow. The head of the bed should be elevated to
a. Keep head of bed elevated at least 30 at least 30 degrees, unless the patient has symptoms of poor tissue perfusion. tPA
degrees. may be administered if the patient meets the other criteria for tPA use.
b. Infuse normal saline intravenously at 75
mL/hr.
c. Administer tissue plasminogen activator
(tPA) per protocol.
d. Administer a labetalol (Normodyne) drip
to keep BP less than 140/90 mm Hg.
A 56-year-old patient arrives in the d. tissue plasminogen activator (tPA) infusion.
emergency department with hemiparesis
and dysarthria that started 2 hours The patient's history and clinical manifestations suggest an acute ischemic stroke and
previously, and health records show a a patient who is seen within 4.5 hours of stroke onset is likely to receive tPA (after
history of several transient ischemic screening with a CT scan). Heparin administration in the emergency phase is not
attacks (TIAs). The nurse anticipates indicated. Emergent carotid transluminal angioplasty or endarterectomy is not
preparing the patient for indicated for the patient who is having an acute ischemic stroke.
a. surgical endarterectomy.
b. transluminal angioplasty.
c. intravenous heparin administration.
d. tissue plasminogen activator (tPA)
infusion.
A female patient who had a stroke 24 a. ask questions that the patient can answer with "yes" or "no."
hours ago has expressive aphasia. The
nurse identifies the nursing diagnosis of Communication will be facilitated and less frustrating to the patient when questions
impaired verbal communication. An that require a "yes" or "no" response are used. When the language areas of the brain
appropriate nursing intervention to help are injured, the patient might not be able to read or recite words, which will frustrate
the patient communicate is to the patient without improving communication. Expressive aphasia is caused by
damage to the language areas of the brain, not by the areas that control the motor
a. ask questions that the patient can answer aspects of speech. The nurse should allow time for the patient to respond.
with "yes" or "no."
b. develop a list of words that the patient
can read and practice reciting.
c. have the patient practice her facial and
tongue exercises with a mirror.
d. prevent embarrassing the patient by
answering for her if she does not respond.
Stroke - Practice Questions & Answers Latest Update 100% Verified
