Chapter 60 - Stroke (Questions With 100% Verified Answers ) A+ Review

Chapter 60 - Stroke (Questions With 100% Verified Answers ) A+ Review 1 / 11 The nurse is caring for a client who experiences a brief episode of tinnitus, diplopia, and dysarthria with no residual effects. Which of the following actions should the nurse anticipate as treatment for this client? a. Prophylactic clipping of cerebral aneurysms b.Heparin via continuous intravenous infusion c. Oral administration of low dose Aspirin therapy d. Therapy with tissue plasminogen activator (tPA) The nurse is caring for a client who has recently had a stroke. When reviewing the clients' laboratory report, which of the following results should the nurse report the health care provider? a. PaCO2 51 mm Hg b. pH 7.41 c. PaO2 96 mm Hg d. WBC 9.2 x 10^9/L The nurse is admitting a client who had a stroke and is experiencing right-sided arm and leg paralysis and facial drooping on the right side. Which of the following clinical manifestations should the nurse expect to find? a. Impulsive behaviour b. Right-sided neglect c. Hyperactive left-sided reflexes d. Difficulty in understanding commands The nurse receives a verbal report that a client has an occlusion of the left posteriANS: C The client's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit platelet aggregation are prescribed after a TIA to prevent stroke. Continuous heparin infusion is not routinely used after TIA or with acute ischemic stroke.The client's symptoms are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not for TIA. ANS: A All of the lab values are within normal range except for the PaCO2. A high PaCO2 is a potent vasodilator that increases cerebral blood flow. ANS: D Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive behaviour and neglect are more likely with a right-side stroke. Chapter 60 - Stroke (Questions With 100% Verified Answers ) A+ Review 2 / 11 or cerebral artery. Which of the following findings should the nurse anticipate? a. Dysphasia b. Confusion c. Visual deficits d. Poor judgement The health care provider prescribes clopidogrel for a client with cerebral atherosclerosis. Which of the following information should the nurse include when teaching the client about the new medication? a. Monitor and record the blood pressure daily. b. Call the health care provider if stools are tarry. c. It will dissolve clots in the cerebral arteries. d. It will reduce cerebral artery plaque formation. The health care provider recommends a carotid endarterectomy for a client with carotid atherosclerosis and a history of transient ischemic attacks (TIAs). The client asks the nurse to describe the procedure.Which of the following responses by the nurse is appropriate? a. "The carotid endarterectomy involves surgical removal of plaque from an artery in the neck." b. "The diseased portion of the artery in the brain is removed and replaced with a synthetic graft." c. "A wire is threaded through an artery ANS: C Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with middle cerebral artery involvement. Cognitive deficits and changes in judgement are more typical of anterior cerebral artery occlusion. ANS: B Plavix inhibits platelet function as it increases the risk for bleeding, so clients should be advised to notify the health care provider about any signs of bleeding.The medication does not lower blood pressure, decrease plaque formation, or dissolve clots. ANS:- CONTINUES...