CH. 17 Flashcards
Answers to Assessment in Action Questions
Answers to Assessment in Action Questions
• Answer: A Maintaining the ABCs
• Answer: C Cincinnati Prehospital Stroke Scale Assessment
• Answer: A Ischemic stroke
• Answer: B Neglect
• Answer: A A seizure lasting greater than 30 minutes
• Answer: C Hypoglycemia
• Answer: C Hypoglycemia
• Answer: Have the patient smile and frown; have the patient hold his or her arms out with palms up and eyes closed; have the patient repeat the sentence, “The sky is blue in Cincinnati.”
• Answer: Stroke is a loss of brain function in certain brain cells that do not get enough oxygen resulting in permanent damage. A TIA is a disorder of the brain in which brain cells temporarily stop functioning because of insufficient oxygen, causing stroke-like symptoms that resolve within 24 hours of onset.
• Answer: Stroke patients who receive treatment within the first few hours of the onset of stroke symptoms have a much greater chance of surviving and avoiding long-term brain damage. Patients with ischemic strokes, the most common type of stroke, may be candidates for treatment with tissue plasminogen activator (tPA), but this drug must be given within the first few hours after a stroke; ideally within the first hour of arrival in the ED to have the best chance of reversing the symptoms. Therefore noting the time of symptom onset and transporting to a stroke center are crucial steps because the time helps determine whether the treatment can be administered, and transport to a stroke center ensures the patient is delivered to a facility that can deliver the specific treatment.
