Exam 58: Nursing Management: Stroke

Which information about the patient who has had a subarachnoid hemorrhage is most important to communicate to the health care provider?

A 40-year-old patient has a ruptured cerebral aneurysm and subarachnoid hemorrhage.Which intervention will be included in the care plan?

A 68-year-old patient is being admitted with a possible stroke.Which information from the assessment indicates that the nurse should consult with the health care provider before giving the prescribed aspirin?

A male patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities.The nurse observes that when the patient's wife is visiting,she feeds and dresses him.Which nursing diagnosis is most appropriate for the patient?

Which stroke risk factor for a 48-year-old male patient in the clinic is most important for the nurse to address?

Several weeks after a stroke,a 50-year-old male patient has impaired awareness of bladder fullness,resulting in urinary incontinence.Which nursing intervention will be best to include in the initial plan for an effective bladder training program?

When teaching about clopidogrel (Plavix),the nurse will tell the patient with cerebral atherosclerosis

A 58-year-old patient with a left-brain stroke suddenly bursts into tears when family members visit.The nurse should

During the change of shift report a nurse is told that a patient has an occluded left posterior cerebral artery.The nurse will anticipate that the patient may have

The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to impaired self-feeding ability for a left-handed patient with left-sided hemiplegia.Which intervention should be included in the plan of care?

After receiving change-of-shift report on the following four patients,which patient should the nurse see first?

A patient admitted with possible stroke has been aphasic for 3 hours and his current blood pressure (BP)is 174/94 mm Hg.Which order by the health care provider should the nurse question?

For a patient who had a right hemisphere stroke the nurse establishes a nursing diagnosis of

A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage.Which information about the patient is most important to communicate to the health care provider?

The nurse is caring for a patient who has just returned after having left carotid artery angioplasty and stenting.Which assessment information is of most concern to the nurse?

The nurse is caring for a patient who has been experiencing stroke symptoms for 60 minutes.Which action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke,which intervention should the nurse include in the plan of care?

A 63-year-old patient who began experiencing right arm and leg weakness is admitted to the emergency department.In which order will the nurse implement these actions included in the stroke protocol? (Put a comma and a space between each answer choice [A,B,C,D].) A) Obtain computed tomography (CT) scan without contrast. B) Infuse tissue plasminogen activator (tPA). C) Administer oxygen to keep O₂ saturation >95%. D) Use National Institute of Health Stroke Scale to assess patient.

A 72-year-old patient who has a history of a transient ischemic attack (TIA)has an order for aspirin 160 mg daily.When the nurse is administering medications,the patient says,"I don't need the aspirin today.I don't have a fever." Which action should the nurse take?

The home health nurse is caring for an 81-year-old who had a stroke 2 months ago.Based on information shown in the accompanying figure from the history,physical assessment,and physical therapy/occupational therapy,which nursing diagnosis is the highest priority for this patient?