Exam 49: Nursing Care of Patients With Cerebrovascular Disorders

The nurse suspects that a patient has vision changes caused by a stroke.What did the nurse assess to make this determination?

A patient tells the nurse that at times it seems like the mouth muscles do not want to work and the patient's speech is slurred.What should the nurse realize that the patient is describing?

A patient comes into the emergency department with symptoms of a stroke.Which medication should the nurse expect may be given to the patient if diagnostic testing confirms an ischemic stroke?

The nurse is planning care for a client with right-sided weakness and aphasia from a transient ischemic attack (TIA).Which area of the brain should the nurse realize was affected in this client?

A patient is diagnosed with a stroke that occurred at 12 noon the previous day.When should the nurse plan to begin bedside physical therapy with this patient?

A 56 year old female client asks why the nurse is assessing her for a stroke.Which manifestations did the nurse use to make this assessment decision? (Select all that apply.)

A patient is admitted to the hospital with a severe headache and photophobia.A lumbar puncture confirms a bleeding aneurysm.What nursing interventions should the nurse anticipate assisting with to prevent increased intracranial pressure (ICP)during the acute phase of illness?

The nurse is providing care for a patient with expressive aphasia.What should the nurse expect to find in the patient's plan of care? (Select all that apply.)

A patient with symptoms of impending stroke is scheduled to have a cerebral angiogram.Which statement should the nurse include when assisting with patient teaching?

The nurse is planning information about stroke frequency as part of a community health education program.Which demographic groups should the nurse include that are at higher than average risk for stroke? (Select all that apply.)

The nurse is assisting in preparing a patient for transfer to a rehabilitation facility after a stroke.What should the nurse explain as the goal for rehabilitation?

The nurse is assisting with teaching a patient who has had a transient ischemic attack (TIA).On which understanding should the nurse base teaching?

The nurse is assisting with a community education program related to cerebral vascular accidents.What should be included in a list of symptoms that need immediate medical attention? (Select all that apply.)

The nurse is reviewing teaching provided to a patient with transient ischemic attack (TIA).Which statement indicates that further teaching is required?"

A client with a subarachnoid bleed refuses to use a bedpan and becomes angry when denied permission to walk to the bathroom.While waiting to hear from the health care provider (HCP),which action should the nurse take?

The nurse is documenting care provided to a patient with left-sided flaccidity caused by a stroke.Which term should the nurse use to document this patient's motor status?

The nurse is involved in a blood pressure clinic in the community,and an individual with possible stroke symptoms is brought for evaluation.Which findings in theF.A.S.T.assessment indicate the need to call emergency personnel? (Select all that apply.)

A patient enters the emergency department with right-sided weakness and vision changes.What assessment finding should be communicated to the registered nurse (RN)or HCP immediately?

A patient with a temporary loss of motor function is diagnosed with a transient ischemic attack (TIA).What should the nurse include when assisting in the teaching about this health problem?

A patient is prescribed an antiplatelet agent to prevent strokes.Which agent was this patient most likely prescribed?