Question 1

A client who has had a stroke appears to understand words that are spoken but cannot verbally respond. The nurse clarifies that this type of aphasia is

Accepted Answer

A)  Broca's. 
B)  global. 
C)  receptive. 
D)  Wernicke's.

Question 2

When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage asks the nurse about the client's chances for recovery, the nurse should base a reply on knowledge that with this type of CVA

Accepted Answer

A)  improvement generally occurs over several days. 
B)  rapid improvement often occurs. 
C)  recovery is slow and less complete. 
D)  there is no way to know for sure.

Question 3

A client who experienced a stroke that left residual left hemiplegia will not wash the left side or use her good limbs on the right to move or adjust the limbs on the left. The most appropriate diagnosis for this client is

Accepted Answer

A)  Altered Physical Mobility. 
B)  Ineffective Coping. 
C)  Self-Care Deficit. 
D)  Unilateral Neglect.

Question 4

A client has a history of experiencing focal neurologic deficits, such as slurred speech and facial weakness, that last for a few hours at a time. The nurse then assesses this client for other possible manifestations of

Accepted Answer

A)  embolic stroke. 
B)  encephalopathy. 
C)  intracranial hemorrhage. 
D)  transient ischemic attacks (TIAs).

Question 5

A client has received thrombolytic therapy for treatment of an ischemic stroke. Which intervention takes priority?

Accepted Answer

A)  Assessing nutritional status and planning feeding 
B)  Consulting with the interdisciplinary stroke team 
C)  Providing client and family education 
D)  Stringent blood pressure control

Question 6

Which interventions should the nurse plan to encourage the client to become proficient in self-administering his/her own medications? (Select all that apply.)

Accepted Answer

A)  Allow the client to assume greater responsibility for taking medications. 
B)  Create a clear, concise drug chart including all the client's medications. 
C)  Encourage the client to take medications under supervision of a family member. 
D)  Provide a supervised trial of self-administration of medications. 
E)  Teach the client pertinent information about each medication.

Question 7

When the client complains about having to perform quadricep-setting exercises, the nurse reminds him that the exercises will enhance ambulation by

Accepted Answer

A)  combating footdrop. 
B)  diminishing the effects of proprioception. 
C)  improving balance. 
D)  strengthening the knee.

Question 8

A client who had a thrombotic stroke finished receiving intravenous rt-PA therapy at 10:00 AM on Sunday. Sunday afternoon the physician writes an order to start Coumadin and Plavix that evening. The most appropriate action by the nurse would be to

Accepted Answer

A)  call the physician and clarify when the medications should be given. 
B)  consult with the pharmacist about giving both medications together. 
C)  give the Coumadin at 5:00 PM because that is the standard administration time. 
D)  provide appropriate education and administer the medications as ordered.

Exam 70: Management of Clients with Stroke