Cerebrovascular Accident Flashcards
Women have a (higher/lower) incidence of stroke than men?
Lower
Name 3 types of CVA.
Embolus
Thrombus
Hemorrhage
Chronic abuse of alcohol increase risk of CVA . (T/F)
False
What increase the risk of CVA?
Oral contraceptives
Obesity
Smoking
A Fib
What is a TIA?
Transient ischemic attack, warning sign of impending CVA
A CVA is a ___ of the brain cells due to decrease_____ ____ and ____.
Destruction, blood flow and oxygen
Do patients experiencing a CVA have a headache?
Yes
The first sign of CVA is usually a_____
Change in LOC
The activity order in early management of CVA is_____
Absolute bed rest
The patient with a recent CVA is most likely to have fluid restricted or forced
Restricted
How far should the HOB be up after CVA?
30 degree
Can a stroke victim be turned side to side?
Yes
The CVA patient should be turned onto his paralyzed side no longer than 2 hrs. (T/F)
False, no longer then 20 minutes
ROM exercises should occur______
q4h or 3x a day
What type of paralysis typical of CVA
Hemiplegia- one side of the body
If the patient has right hemiplegia, he cannot move his____and____the stroke was on the____side of the brain.
Right arm, right leg, left
What is hemianopsia?
Not being able to see 1/2 of the field of vision
The client with hemianopsia should be taught to_____
Scan- moving the head from side to side see the whole field of vision
If the client has right homonymous hemianopsia, food on the______ side of the tray may be ignored.
Right
After meals the nurse must always check____of the CVA client for_____
Mouth (or cheek) food
Should a CVA patient have all four side rails up at all times? Should they be restrained?
Side rails yes. Restraints no unless they are danger to self or othersw
When a patient does not understand incoming language , this is called?
Receptive aphasia
When a CVA patient understand your question but can’t respond verbally, this is called?
Expressive aphasia
Aphasia is most common if the stoke occurred in the (dominant/non-dominant) hemisphere of the brain.
Dominant
How do you tell which side of the persons brain dominant?
It is the side that control their dominant hand
For which type of aphasia are slow, short, simple directions most useful?
Receptive
For which type of aphasia is careful listening and needs anticipation most useful?
Expressive
Apraxia
The loss of ability to perform purposeful skilled acts, i.e. Brushing teeth
