Exam 54: Nursing Management: the Patient With a Stroke

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

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?

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

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

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 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 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?

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?

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?

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 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 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 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?

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?

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

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?

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?

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

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?

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)?