Management of Patients with Cerebrovascular Disorders Flashcards
The nurse assesses that a patient is exhibiting symptoms associated with
a Transient Ischemic Attack (TIA). After which period of time will the
nurse monitor for these symptoms to subside?
a. 1 hour
b. 3 to 6 hours
c. 12 hours
d. 24 to 36 hours
a. 1 hour
A patient who had a stroke is experiencing memory loss and impaired
learning capacity. In which lobe does the nurse determine that brain
damage has most likely occurred?
a. Frontal
b. Occipital
c. Parietal
d. Temporal
a. Frontal
The emergency department nurse is caring for a patient weighing 110 lb
who is having a stroke. When administering recombinant rt-PA, which
minimum dose will the patient receive?
a. 50 mg
b. 60 mg
c. 85 mg
d. 100 mg
a. 50 mg
A patient is brought to the emergency department with symptoms that
indicate a possible stroke. Which initial diagnostic test for a stroke,
usually performed in the emergency department, will the nurse prepare
the patient for?
a. 12-lead electrocardiogram
b. Carotid ultrasound study
c. Noncontrast computed tomography
d. Transcranial Doppler flow study
c. Noncontrast computed tomography
A patient is exhibiting classic signs of a hemorrhagic stroke. Which
report from the patient would be an indicator of this type of stroke?
a. Numbness of an arm or leg
b. Double vision
c. Severe headache
d. Dizziness and tinnitus
c. Severe headache
The nurse is caring for a patient having a hemorrhagic stroke. In which
position in the bed will the nurse maintain this patient?
a. High Fowler
b. Prone
c. Supine
d. Semi-Fowler
d. Semi-Fowler
A patient has had a large ischemic stroke and is hospitalized in the
neurologic intensive care unit. Which interventions will be provided for
this patient to decrease intracranial pressure? (Select all that apply.)
a. Administer mannitol as prescribed.
b. Maintain the partial pressure of arterial carbon dioxide (PaCO2)
within a range of 30 to 35 mm Hg.
c. Administer heparin to induce anticoagulation.
d. Administer supplemental oxygen if the oxygen saturation is below
88%.
e. Elevate the head of the bed to 30 degrees and maintain in neutral
position.
a. Administer mannitol as prescribed.
b. Maintain the partial pressure of arterial carbon dioxide (PaCO2)
within a range of 30 to 35 mm Hg.
d. Administer supplemental oxygen if the oxygen saturation is below
88%.
A patient having an acute stroke with no other significant medical
disorders has a blood glucose level of 420 mg/dL. Which significance
does the hyperglycemia have for this patient?
a. The patient has new onset diabetes.
b. This is significant for poor neurologic outcomes.
c. The patient has developed diabetes insipidus due to the location of the
stroke.
d. The patient has liver failure.
b. This is significant for poor neurologic outcomes.
A patient had a carotid endarterectomy yesterday and when the nurse
arrives in the room to perform an assessment, the patient states, “All of a
sudden, I am having trouble moving my right side.” Which is a priority
concern the nurse has related to this statement?
a. A thrombus formation at the site of the endarterectomy
b. This is a normal occurrence after an endarterectomy and not a
concern
c. Bleeding from the endarterectomy site
d. Surgical wound infection
a. A thrombus formation at the site of the endarterectomy
A patient is in the acute phase of an ischemic stroke. How long does the
nurse determine that this phase may last?
a. Up to 2 weeks
b. Up to 1 week
c. 1 to 3 days
d. Up to 24 hours
c. 1 to 3 days
A patient having an ischemic stroke is admitted to the acute care facility.
When will the nurse plan the rehabilitation for this patient?
a. The day before the patient is discharged
b. After the patient has passed the acute phase of the stroke
c. After the nurse has received the discharge orders
d. The day the patient has the stroke
d. The day the patient has the stroke
A patient who has had a stroke begins having complications regarding
spasticity in the lower extremity. Which prescribed medication will the
nurse administer as prescribed to help alleviate this issue?
a. Diphenhydramine
b. Lioresal
c. Heparin
d. Pregabalin
b. Lioresal
After having a stroke, a patient has cognitive deficits. Which cognitive
deficits does the nurse identify the patient has as a result of the stroke?
(Select all that apply.)
a. Poor abstract reasoning
b. Decreased attention span
c. Short- and long-term memory loss
d. Expressive aphasia
e. Paresthesias
a. Poor abstract reasoning
b. Decreased attention span
c. Short- and long-term memory loss
A patient having a stroke is having difficulty forming words. How will
the nurse document this finding?
a. Ataxia
b. Arthralgia
c. Dysphagia
d. Dysarthria
c. Dysphagia
A patient has had a right hemispheric stroke. Which clinical
manifestations does the nurse identify to correlate with this type of
stroke?
a. Left visual field deficit
b. Aphasia
c. Slow, cautious behavior
d. Altered intellectual ability
a. Left visual field deficit
