Exam 45: Care of Critically Ill Patients with Neurologic Problems

A client with a stroke has damage to Broca's area.What intervention to promote communication is best for this client?

The nurse working in the emergency department assesses a client who has symptoms of stroke.For what modifiable risk factors should the nurse assess? (Select all that apply.)

A nurse receives a report on a client who had a left-sided stroke and has homonymous hemianopsia.What action by the nurse is most appropriate for this client?

A client experiences impaired swallowing after a stroke and has worked with speech-language pathology on eating.What nursing assessment best indicates that a priority goal for this problem has been met?

A client is being prepared for a mechanical embolectomy.What action by the nurse takes priority?

A nurse is providing community screening for risk factors associated with stroke.Which client would the nurse identify as being at highest risk for a stroke?

A client has a shoulder injury and is scheduled for a magnetic resonance imaging (MRI).The nurse notes the presence of an aneurysm clip in the client's record.What action by the nurse is best?

A client is in the emergency department reporting a brief episode during which he was dizzy,unable to speak,and felt like his legs were very heavy.Currently the client's neurologic examination is normal.About what drug should the nurse plan to teach the client?

A client in the emergency department is having a stroke and the provider has prescribed the tissue plasminogen activator (t-PA)alteplase (Activase).The client weighs 146 pounds.How much medication will this client receive? (Record your answer using a whole number.)_____ mg

The nurse assesses a client's Glasgow Coma Scale (GCS)score and determines it to be 12 (a 4 in each category).What care should the nurse anticipate for this client?

A nurse has applied to work at a hospital that has National Stroke Center designation.The nurse realizes the hospital adheres to eight Core Measures for ischemic stroke care.What do these Core Measures include? (Select all that apply.)

A nurse is dismissing a client from the emergency department who has a mild traumatic brain injury.What information obtained from the client represents a possible barrier to self-management? (Select all that apply.)

A nurse is caring for a client after a stroke.What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A client in the emergency department is having a stroke.The client weighs 225 pounds.After the initial bolus of t-Pa,at what rate should the nurse set the IV pump? (Record your answer using a decimal rounded to the nearest tenth.)____ mL/hr

After a craniotomy,the nurse assesses the client and finds dry,sticky mucous membranes and restlessness.The client has IV fluids running at 75 mL/hr.What action by the nurse is best?

A client has an intraventricular catheter.What action by the nurse takes priority?

A nursing student studying traumatic brain injuries (TBIs)should recognize which facts about these disorders? (Select all that apply.)

A client with a traumatic brain injury is agitated and fighting the ventilator.What drug should the nurse prepare to administer?

After a stroke,a client has ataxia.What intervention is most appropriate to include on the client's plan of care?

A nurse is caring for four clients in the neurologic intensive care unit.After receiving the hand-off report,which client should the nurse see first?