Exam 28: Cerebrovascular Accident

The nurse explains that a lacunar stroke differs from an ischemic CVA in that a lacunar CVA: (Select all that apply.)

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:

During the acute CVA phase,a risk for falls related to paralysis is present.The intervention that best protects the patient from injury is:

The nurse explains that the purpose of a stent in the carotid artery of a person with a TIA is to: (Select all that apply.)

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

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

The nurse checks the oxygen in the circulating volume for adequate concentration to support the brain's need of ________% of the oxygen supply of the body.

The nurse counsels that the patient at the greatest risk for a CVA is a:

The nurse is supportive of the frustrated patient with expressive aphasia because the condition is characterized by: (Select all that apply.)

The nurse updates the teaching plan for a patient who suffered a TIA to include the provision for:

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

The wife of a husband who has had a CVA asks why he is being treated with insulin since he has no history of diabetes.The nurse's response is based on the knowledge that hyperglycemia occurs after a stroke as a response to:

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

The patient who experienced a TIA is prescribed warfarin (Coumadin)and has laboratory reports reflecting a therapeutic range for that drug that are:

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

Immediately after a CVA,a major nursing priority is ensuring:

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 explains that a patient who has been determined to have had a complete stroke as a result of a ruptured vessel in the left hemisphere would be classified 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 explains that a lumbar puncture is most helpful as a diagnostic tool for a new patient who has had a CVA because it can help determine if the stroke: