Exam 28: Cerebrovascular Accident

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

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:

Several days after a CVA,the patient's family asks the nurse if tissue plasminogen activator (tPA)is a drug therapy option now.The nurse's response is based on the knowledge that this drug must be used within how many hours after the onset of symptoms?

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

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?

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 takes into consideration that 3% of strokes occur to persons younger than 45 years of age,which are caused by: (Select all that apply.)

A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA)in the:

The nurse suspects a TIA has occurred when the assessment of a patient reveals transitory: (Select all that apply.)

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 assesses patients with CVAs who are candidates for treatment with tPA.They include a: (Select all that apply.)

In the rehabilitation phase of a CVA,patients with homonymous hemianopsia need to have their environments arranged so that persons approaching and important items are visible and available on:

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?

The instruction that is most helpful in teaching the family and patient who is in the rehabilitation phase after a CVA about altered sensation is to: