Exam 28: Cerebrovascular Accident

A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent.The nurse assesses:

The nurse assesses that the patient with a CVA is in transition to the rehabilitation phase when:

The assessments that indicate a fluid volume excess in a patient in the acute phase of a CVA is:

The patient recovering from a CVA asks the purpose of the warfarin (Coumadin).The best response by the nurse is that Coumadin:

The nurse suspects a TIA has occurred when the assessment of a patient reveals transitory:

The nurse assesses patients with CVAs who are candidates for treatment with tPA.They include a:

The nurse recognizes that the acute phase of a CVA has ended when:

The patient in the acute phase of an embolic CVA has an order for 400 units of heparin per hour IV.The heparin is in a solution of 5000 units/100 ml normal saline (NS).The nurse should set the electronic IV monitor at how many milliliters per hour?

Pneumonia is the most frequent cause of death after a stroke.The intervention that would be contraindicated in the acute care of a patient with a hemorrhagic CVA is to:

The nurse adds to the nursing care plan the intervention that will help preserve joint mobility in the acute phase of a CVA,which is:

The nurse,using the nursing diagnosis,"Imbalanced nutrition,related to dysphagia,with the goal of adequate nutrition," would select the appropriate outcome criterion as:

A patient experienced a period of momentary confusion,dizziness,and slurred speech but recovered in 2 hours.The most helpful assessment in the diagnosis of this episode would be:

The nurse prepares a list of home modifications that will support rehabilitation for a patient who had a stroke.These include:

The nurse selects the most effective intervention for best support of regular bowel elimination and the prevention of constipation,which is:

The nurse takes into consideration that 3% of strokes occur to persons younger than 45 years of age,which are caused by:

The nurse encourages which one of the following posthospital options that would provide the most comprehensive assistance to a patient who is recovering from a CVA?

The patient in the rehabilitation phase after a CVA accidentally knocks the adapted plate from the table and bursts into tears after failing to feed himself.The nurse's best response would be:

The nurse explains that a lacunar stroke differs from an ischemic CVA in that a lacunar CVA:

A patient who has suffered a hemorrhagic stroke is placed on a protocol of 60 mg calcium channel blocker (nimodipine)every 4 hours.The patient's pulse is 82 beats/min before the administration of the prescribed dose.The nurse should:

The nurse is supportive of the frustrated patient with expressive aphasia because the condition is characterized by: