Stroke FA Davis

When caring for a patient who experienced a hemorrhagic stroke a few hours previous, which nursing intervention would be appropriate?

Perform neurological assessments every 6 hours.

Monitor the patient closely for hypernatremia.

Administer thrombolytic medications as ordered.

Elevate the head of the bed to 45 degrees.

Elevate the head of the bed to 45 degrees.

Which factor would increase the risk of experiencing a subarachnoid hemorrhagic stroke?

Being male

Social drinking

Being a premenopausal female

Uncontrolled hypertension

Uncontrolled hypertension

Which notable characteristic would differentiate a transient ischemic attack (TIA) from other types of stroke?

TIA presents with vague clinical manifestations different from ischemic stroke.

Clinical manifestations of TIA resolve on their own within 24 hours.

TIA is caused by bleeding in the brain.

MRI is not used to help diagnose TIA like it is for other kinds of stroke.

Clinical manifestations of TIA resolve on their own within 24 hours.

Which statement by the patient would indicate an understanding of teaching regarding atorvastatin (Lipitor) for stroke prevention?

"This medication will keep my platelets from sticking together."

"This medication thins out my blood to prevent clotting."

"This is a medication that will keep my blood pressure under control."

"This medication decreases my cholesterol to help prevent stroke."

"This medication decreases my cholesterol to help prevent stroke."

The nurse is caring for a patient with hemiplegia and hemiparesis of the right leg after a recent stroke. Which nursing action is the priority?

Preventing foot drop

Reposition often

Aspiration precautions

Active range of motion (ROM) of the right side

Reposition often

The primary healthcare provider orders IV recombinant tissue plasminogen activator (rt-PA) therapy for a patient. Which condition does the patient most likely have?

Neurogenic shock

Acute ischemic stroke

Traumatic brain injury

Increased intracranial pressure

Acute ischemic stroke

Which type of stroke would be classified as a hemorrhagic?

Embolic

Cryptogenic

Small vessel (lacunar)

Intracerebral hematoma

Intracerebral hematoma

The nurse suspects lower cranial nerve dysfunction in a patient with hemorrhagic stroke. Which finding supports the nurse's suspicion?

Impaired swallowing

Impaired family coping

Impaired physical mobility

Impaired verbal communication

Impaired swallowing

Which type of cerebral herniation syndrome is most likely to lead to stroke in the tissue surrounding the anterior cerebral artery?

Uncal herniation

Central herniation

Tonsillar herniation

Subfalcine herniation

Subfalcine herniation

Which assessment finding would the nurse expect in a patient who experienced uncal brain herniation following a large hemorrhagic stroke?

Negative Babinski reflex

Cushing's triad

One dilated pupil

Abnormal posturing

One dilated pupil

The nurse notes neglect on one side of the body in a patient who recently had a stroke. Which term describes this condition?

Apraxia

Agnosia

Battle's sign

Hemianopia

Agnosia

A client has developed syndrome of inappropriate antidiuretic hormone (SIADH) after experiencing a stroke. Which electrolyte imbalance would support that diagnosis?

Hyperkalemia

Hyponatremia

Hypercalcemia

Hypophosphatemia

Hyponatremia

A patient has been treated with tissue plasminogen activator (t-PA) for an ischemic stroke. Which action should the nurse take? Select all that apply.

Use an electric razor for shaving.

Use a soft toothbrush for oral hygiene.

Never rotate IV sites.

Keep the blood pressure (BP) cuff on one arm only.

Avoid taking rectal temperature.

Use an electric razor for shaving.

Use a soft toothbrush for oral hygiene.

Avoid taking rectal temperature.

Which factor would increase the risk of experiencing an ischemic stroke?

Hypotension

Younger than age 50

Cocaine use

High fat diet

Cocaine use