Exam 3: NSG3250 / NSG 3250 (2024 / 2025 Update) Adult Health I | Complete Review with Questions and Verified Answers | 100% Correct | Grade A - Galen

Exam 3: NSG3250 / NSG 3250 (2024 / 2025 Update) Adult Health I | Complete Review with Questions and Verified Answers | 100% Correct | Grade A Q: Age increases stroke risk factor why because of atherosclerosis. Q: why is sickle cell a risk factor for stroke? Answer: because it can cause decreased blood flow, and stickier blood cells. Q: FAST acronym Answer: Face drooping Arm weakness Speech difficulty Time to call 911 Q: Stroke Risk factors Answer: smoking, a fib, cocaine use, alcoholism, uncontrolled htn, sedentary lifestyle, oral contraceptives, sickle cell, DM, hx of TIA or stroke. Q: ataxia Answer: inability to perform coordinated movements (trouble walking), can be seen in a stroke assessment. Q: which acronym is for left sided strokes Answer: M- math problems A- aware of deficits L- language problems L- logic problems. Q: Left sided stroke has Answer: Math problems, aware of deficits, language problems, and logic problems. Q: Right sided stroke acronym Answer: F- facial recognition problems. U- unaware of deficits. S- spatial and perceptual problems E- emotionally liable Q: Fuse is for which side of stroke and what does it stand for? Answer: Right sided and stands for facial recognition, unaware of deficits, spatial and perceptual problems and emotional liability. Q: tPA is used for Answer: thrombolytic therapy, used for ischemic strokes. Q: TPA criteria Answer: -older than 18 -Clinical diagnosis of ischemic stroke -Systolic blood pressure d185 mm Hg; diastolic d110 mm Hg -Glucose >50 mg/dL -Platelet count e100,000/mm -No hx of seizure, TIAs, head injury, major surgery, or pregnancy within last 3 months - PTT less than or equal to 15 seconds - INR less than or equal to 1.7 -Must be given within 4.5 hours since baseline. Q: Criteria for tPA (again) Answer: older than 18, bp less than or equal to 185/110, ptt less than or equal to 15 seconds, INR less than or equal to 1.7, platelet greater than or equal to 100,000, no gi/brain bleed within 21 days, must be given within 4.5 hours since baseline. Q: Neuro checks are ordered every Answer: 2 hours Q: Npo until Answer: swallow study by speech pathology Q: homonymous hemianopsia Answer: The loss of the right or left half of the field of vision in both eyes, comes from the opposite side of brain. Q: Hemorrhagic stroke pts have a higher risk for Answer: increase icp (worse prognosis than ischemic) Q: Medical management for hemorrhagic stroke Answer: decrease icp (osmotic diuret- ics-mannitol, ventricular drain, sedation, hypertonic IVF, elevate HOB 30 degrees) Q: what medications can be used to manage a hemorrhagic stroke Answer: vitamin k, protamine, and idarucizumab, and anticonvulsants Dilantin. Q: nursing interventions for avm that has bleeding Answer: same as hemorrhagic and ischemic stroke Q: Post-ictal phase Recovery period after the seizure; confusion, lethargy, headache, muscle soreness and depression.