Neuro

Question 1

Smoking is a ===== risk factor for stroke because the client has an ability to change via cessation.

Answer 1

modifiable

Question 2

Hypertension is a —— risk factor for stroke, because the client should have the ability to change via medication, exercise, and diet.

Answer 2

modifiable

Question 3

Race is a —– risk factor for stroke.

Answer 3

non-modifiable

Question 4

A client who had a stroke involving the —- cerebral hemisphere is likely to have changes in visual and spatial awareness, inability to recognize faces, personality changes, which can include impulsiveness, confabulation, and poor judgment.

Answer 4

right

Question 5

A client who had a stroke involving the —— cerebral hemisphere is likely to have deficits that involve language which include difficult using or comprehending language and difficulty writing., mathematical skills, and thinking.

Answer 5

left

Question 6

A client who had a stroke involving the —– cerebral hemisphere is more likely to have visual deficits which include inability to discriminate words and letters, reading problems and deficits in the —– visual field.

Answer 6

left, right

Question 7

The client who has surgery to treat a supratentorial brain tumor is at risk for increased —–. Elevation of the head of the bed to —– assist in promoting venous and CNS fluid drainage from the head to prevent —– ICP.

Answer 7

ICP, 30, increased

Question 8

When a client begins having a tonic-clonic seizure, the first action the nurse should take when using the airway, breathing, circulation approach to client care is to ——. This action keeps the client’s airway clear of secretion to prevent —–.

Answer 8

Turn client head to side, aspiration

Question 9

The nurse should obtain —- —- as a precaution so the client can receive IV —– the event of a seizure.

Answer 9

IV access, medication

Question 10

During a seizure the nurse should instruct the family to move objects —- from the client, —– restrictive clothing and place a pillow under the client’s —– to —– the risk of injury to the client. The nurse should not restrict movement by placing ——

Answer 10

away, loosen, head, reduce, restraints.

Question 11

When planning care for a client who has a history of tonic-clonic seizure disorder, the nurse should provide ——-setup at the bedside, have ——–available, ——–the side rails, and place the bed in the ——– position.

Answer 11

suction, oxygen, elevate or pad, lowest

Question 12

A reddene by d area over bony prominence is a stage – pressure ulcer, a complication of ————. If detected and treated at this stage, it may prevent progression of the ulcer.

Answer 12

1, immobility

Question 13

When speaking to a client with global aphasia, the nurse should speak using sentences that contain —- clear thought or idea for better———— and understanding.

Answer 13

1, communication

Question 14

Clients who have dysphagia are at risk for ———pneumonia.

Answer 14

asipration

Question 15

When feeding a client with dysphagia, the nurse should place the client in a(n) ———-position, place food on the client’s ———– side of the mouth and give ——-bites to improve swallowing and prevent ———-. The client should be instructed to tilt the head———- to prevent choking.

Answer 15

Upright, strong, small, choking, forward

Question 16

Nutrition via nasogastric tube provide——— nutrition for clients who are at risk for aspiration caused by a diminished —-reflex or difficulty swallowing.

Answer 16

parental, gag

Question 17

A sudden, acute severe headache is an expected initial manifestation of a ———–stroke.

Answer 17

hemorrhagic

Question 18

Dim ——–and area ——–are safety hazards for someone who has had a stroke, —- water heater should be set no higher than 120 degrees F, Medications should be kept in the original —–container with labels.

Answer 18

lights, rugs, hot, pill

Question 19

The nurse should perform a ———test to check the client’s ability to maintain an upright position without swaying when standing with feet close together, with eyes open and with eyes closed.

Answer 19

romberg’s

Question 20

The priority action for someone experiencing symptoms of stroke is to —- ———-.

Answer 20

call 911

Question 21

When assessing a client for pain, the nurse should utilize the hierarchy of pain measures which begins with ——report. A client with ——— aphasia may have difficulty ——–communicating the pain but can point to a number or give nonverbal cues.

Answer 21

patient/self, expressive, verbally

Question 22

MRI scans can be very noisy, ——–are provided to reduce discomfort. Clients must be still when in the MRI, and it can take an ——or more to complete.

Answer 22

foam earplugs (not metal), 1 hour or more

Question 23

Avoid using the word “you” for———- communication. Avoid giving ——-. Using the communication technique of ——-shows interest and encourages the person to communicate. ———cues enhance the client’s ability to comprehend and use language.

Answer 23

therapeutic, advice, reflection, non verbal