Chapter 54: Stroke foundations and adult health nursing
Transient Ischemic Attacks (TIA) are considered
a warning of a stroke to come
Broca's aphasia
also known as expressive aphasia involves the loss of the ability to produce language (spoken, manual, written), although comprehension generally remains intact
Hemorrhagic strokes
are caused by bleeding into the brain tissue
Ischemic strokes are caused
by a thrombus (blood clot) or embolism (traveling blood clot)
Ischemic strokes
deficient blood flow to the brain
Hemorrhagic strokes results...
from a burst blood vessel that causes bleeding into the brain
An 83 year old pat has had a stroke. He is right handed and a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him?
from the left side
What is the nurse assessing when asking the pt, "who is the president of the United States?" during a level of consciousness assessment?
fund of knowledge
15% are hemorrhagic
hemorrhagic
85% of strokes are
ischemic
A lesion or injury on one side of the brain effects
motor function on the OPPOSITE (contralateral) side of the body
Patients with difficulty choking
need to be seated at a 90 degree angle with the head up. They should be instructed to tuck the chin slightly when swallowing
LOC is the most
sensitive and reliable indicator of neurologic function
Ischemic strokes are...
thrombotic and embolic
Hypertension is the
Single most modifiable risk factor