Cerebrovascular Accident (CVA) Flashcards

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1
Q

Define the term CVA.

A

Reduction of cerebral blood flow and oxygen causing brain cell damage

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2
Q

The three most common causes of CVA are____?

A

Embolism, hemorrhage, thrombus

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3
Q

What are the signs of a CVA

A

Client complains of headache,

nausea, nuchal rigidity, HTN, slow bounding pulse, Cheyne-Stokes respirations, Speech change facial droop

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4
Q

What is the difference between CVA and Transient Ischemic Attack (TIA)?

A

TIA is a temporary period of neurological deficit. It has similar signs as a CVA, but the symptom will all resolve

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5
Q

What is agnosia?

A

Inability to use an object correctly

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6
Q

Expressive aphasia occurs when_____

A

Client cannot communicate properly ( aphasia can be expressive or receptive)

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7
Q

If the left hemisphere is affected you will see weakness on the ____ side

A

Right

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8
Q

If the right hemisphere is affected, you will see weakness on the ____ side

A

Left

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9
Q

Remember to place the clients belongings on the ____ side

A

Unaffected

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10
Q

The test used to determine a CVA are?

A

CT, EEG, and cerebral arteriography

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11
Q

What are the nursing assessments?

A

Monitor vital signs, neuro checks, watch for seizures, monitor for increase in cranial pressure, check ability to swallow

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12
Q

What complication of the eyes can a client with a CVA have?

A

Corneal abrasions because Lacrimal glands will not produce secretions

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13
Q

What is the activity level for this client

A

Strict bed rest

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14
Q

How should the room environment be?

A

Quiet, peaceful, with objects within reach on unaffected side

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15
Q

How do you position the CVA client?

A

Turn q two hours on unaffected side, 20 minutes on affected side make sure to elevate affected extremities

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16
Q

Why would a thrombolytic be given?

A

To dissolve clot

17
Q

Do not give throbolytics if the causes is____

A

hemorrhage

18
Q

What other medications may be prescribed to treat a CVA?

A

Anti-hypertensive,

anti-coagulants (not for hemorrhage stroke!) and anti-convulsants

19
Q

What anti-coagulants like Coumadin and aspirin dissolve clots?

A

No, they only thin the blood; they do not dissolve the clots