Med/surg III Prep U Chapter 62
Impaired cerebral circulation
A 64-year old client reports symptoms consistent with transient ischemic attack (TIA) to the health care provider in the emergency department. What is the origin of the client ?
Install a bed alarm to remind the client to ask for assistance and alert staff that the client is getting out of bed.
A nurse is caring for an older client who has had a hemorrhagic stroke. The client has exhibited impulsive behavior and, despite reminders from the nurse, doesn't recognize his limitations. Which priority measure should the nurse implement to prevent injury?
Lioresal (Baclofen)
A patient who has suffered a stroke begins having complications regarding spasticity in the lower extremity. What ordered medication does the nurse administer to help alleviate this problem?
Elevating the head of the bed to 30 degrees.
After a stroke, a client is admitted to the facility. The client has left-sided weakness and an absent gag reflex. He's incontinent and has a tarry stool. His blood pressure is 90/50mmHg, and hemoglobin is 10g. Which nursing intervention is a priority for this client?
Aspirin
If warfarin is contraindicted as a treatment for stroke, which medication is the best option?
Psychosis, disorientation, delirium, insomnia, and hallucinations.
The nurse is caring for a client following an aneurysm coiling procedure. The nurse documents that the client is experiencing Korsakoff syndrome. Which set of symptoms characterizes Korsakoff syndrome?
Take medication as soon as symptoms of the migraine begin.
The nurse is caring for a client with chronic migraines who is prescribed medication. What drug related instructions should the nurse give the client?
Weakness on one side of the body and difficulty with speech.
The nurse is providing information about strokes to a community group. Which of the following would the nurse identify as the primary initial symptoms of an ischemic stroke?
Cardiogenic emboli
The provider diagnoses the patient as having had an ischemic stroke. The etiology of an ischemic stroke would include which of the following?
Atrial Fibrillation
Which of the following, if left untreated, can lead to an ischemic stroke?