Exam 58: Nursing Management: Stroke

Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness and decreasing level of consciousness (LOC).Which nursing diagnosis do they determine has the highest priority for the patient?

A 73-year-old patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis.When admitting the patient,which clinical manifestation will the nurse expect to find?

A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours.The nurse will anticipate teaching the patient about

A 47-year-old patient will attempt oral feedings for the first time since having a stroke.The nurse should assess the gag reflex and then

A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered.Which test should be done first?

A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously,and health records show a history of several transient ischemic attacks (TIAs).The nurse anticipates preparing the patient for

A 70-year-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department.Which action should the nurse take first?

A female patient who had a stroke 24 hours ago has expressive aphasia.The nurse identifies the nursing diagnosis of impaired verbal communication.An appropriate nursing intervention to help the patient communicate is to

A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy.Which response by the nurse is accurate?

After a patient experienced a brief episode of tinnitus,diplopia,and dysarthria with no residual effects,the nurse anticipates teaching the patient about