Stroke All Multiple Choice Questions And Answers.

Stroke All Multiple Choice Questions And Answers
f9 f9 f9 f9 f9 f9



1.f9Afterf9af9patientf9experiencedf9af9brieff9episodef9off9tinnitus,f9diplopia,f9an
df9dysarthriaf9withf9nof9residualf9effects,f9thef9nursef9anticipatesf9teachingf9th
ef9patientf9about
a.
cerebralf9aneurysmf9clipping.
b.
heparinf9intravenousf9infusion.
c.
oralf9low-dosef9aspirinf9therapy.
d.

tissuef9plasminogenf9activatorf9(tPA).f9-f9correctf9answer✔ ✔ ANS:f9C

Thef9patient'sf9symptomsf9aref9consistentf9withf9transientf9ischemicf9attackf9(
TIA),f9andf9drugsf9thatf9inhibitf9plateletf9aggregationf9aref9prescribedf9afterf9af
9TIAf9tof9preventf9stroke.f9Continuousf9heparinf9infusionf9isf9notf9routinelyf9u


sedf9afterf9TIAf9orf9withf9acutef9ischemicf9stroke.f9Thef9patient'sf9symptomsf9a
ref9notf9consistentf9withf9af9cerebralf9aneurysm.f9tPAf9isf9usedf9onlyf9forf9acute
f9ischemicf9stroke,f9notf9forf9TIA.




2.f9Af968-year-
oldf9patientf9isf9beingf9admittedf9withf9af9possiblef9stroke.f9Whichf9informatio
nf9fromf9thef9assessmentf9indicatesf9thatf9thef9nursef9shouldf9consultf9withf9the
f9healthf9caref9providerf9beforef9givingf9thef9prescribedf9aspirin?

,a.
Thef9patientf9hasf9dysphasia.
b.
Thef9patientf9hasf9atrialf9fibrillation.
c.
Thef9patientf9reportsf9thatf9symptomsf9beganf9withf9af9severef9headache.
d.
Thef9patientf9hasf9af9historyf9off9brieff9episodesf9off9right-sidedf9hemiplegia.f9-
f9correctf9answer✔ ✔ ANS:f9C

Af9suddenf9onsetf9headachef9isf9typicalf9off9af9subarachnoidf9hemorrhage,f9an
df9aspirinf9isf9contraindicated.f9Atrialf9fibrillation,f9dysphasia,f9andf9transient
f9ischemicf9attackf9(TIA)f9aref9notf9contraindicationsf9tof9aspirinf9use,f9sof9thef9


nursef9canf9administerf9thef9aspirin.


3.f9Af973-year-
oldf9patientf9withf9af9strokef9experiencesf9facialf9droopingf9onf9thef9rightf9sidef
9andf9right-


sidedf9armf9andf9legf9paralysis.f9Whenf9admittingf9thef9patient,f9whichf9clinic
alf9manifestationf9willf9thef9nursef9expectf9tof9find?
a.
Impulsivef9behavior
b.
Right-sidedf9neglect

,c.
Hyperactivef9left-sidedf9tendonf9reflexes
d.

Difficultyf9comprehendingf9instructionsf9-f9correctf9answer✔ ✔
ANS:f9D
Right-sidedf9paralysisf9indicatesf9af9left-
brainf9stroke,f9whichf9willf9leadf9tof9difficultyf9withf9comprehensionf9andf9use
f9off9language.f9Thef9left-


sidef9reflexesf9aref9likelyf9tof9bef9intact.f9Impulsivef9behaviorf9andf9neglectf9ar
ef9moref9likelyf9withf9af9right-sidef9stroke.


4.f9Duringf9thef9changef9off9shiftf9reportf9af9nursef9isf9toldf9thatf9af9patientf9hasf9
anf9occludedf9leftf9posteriorf9cerebralf9artery.f9Thef9nursef9willf9anticipatef9th
atf9thef9patientf9mayf9have
a.
dysphasia.
b.
confusion.
c.
visualf9deficits.
d.

poorf9judgment.f9-f9correctf9answer✔ ✔ ANS:f9C

, Visualf9disturbancesf9aref9expectedf9withf9posteriorf9cerebralf9arteryf9occlusi
on.f9Aphasiaf9occursf9withf9middlef9cerebralf9arteryf9involvement.f9Cognitiv
ef9deficitsf9andf9changesf9inf9judgmentf9aref9moref9typicalf9off9anteriorf9cerebr
alf9arteryf9occlusion.


5.f9Whenf9teachingf9aboutf9clopidogrelf9(Plavix),f9thef9nursef9willf9tellf9thef9pa
tientf9withf9cerebralf9atherosclerosis
a.
tof9monitorf9andf9recordf9thef9bloodf9pressuref9daily.
b.
thatf9Plavixf9willf9dissolvef9clotsf9inf9thef9cerebralf9arteries.
c.
thatf9Plavixf9willf9reducef9cerebralf9arteryf9plaquef9formation.
d.
tof9callf9thef9healthf9caref9providerf9iff9stoolsf9aref9bloodyf9orf9tarrf9-
f9correctf9answer✔ ✔ ANS:f9D

Clopidogrelf9(Plavix)f9inhibitsf9plateletf9functionf9andf9increasesf9thef9riskf9fo
rf9gastrointestinalf9bleeding,f9sof9patientsf9shouldf9bef9advisedf9tof9notifyf9thef9
healthf9caref9providerf9aboutf9anyf9signsf9off9bleeding.f9Thef9medicationf9does
f9notf9lowerf9bloodf9pressure,f9decreasef9plaquef9formation,f9orf9dissolvef9clot


s.


6.f9Af9patientf9withf9carotidf9atherosclerosisf9asksf9thef9nursef9tof9describef9af9c
arotidf9endarterectomy.f9Whichf9responsef9byf9thef9nursef9isf9accurate?