Ch. 33 Cerebrovascular Disorders
A nursing educator is lecturing on transient ischemic attacks (TIAs). When reviewing with students, which statement indicates correct understanding?
TIAs may be more noticeable by bystanders, rather than the patient
A patient is worried about her risk of developing a stroke because her mother has a stroke in her early 60s. Which of the following could the nurse convey as factors that increase a person's risk for stroke? Select all that apply.
Family history of stroke Tobacco usage African American
A nursing is reviewing cerebral circulation. What is the correct location for her to place the Circle of Willis?
Inferior on base of brain
A nurse is reviewing a patient's health history. Which of the following is of greatest concern to the nurse with regard to the patient's risk for stroke?
atrial fibrillation
Cerebral edema is occurring in a patient. The patient is losing consciousness and vital signs, such as heart rate and blood pressure, are abnormal. What portion of the brain is compromised?
brainstem
A patient has suffered a stroke due to disruption of flow in the basilar artery. Which of the following is the most likely presentation in the patient?
Balance problems and vertigo
A nurse educator is teaching students about the risk for stroke. Which of the following would place the patient most at risk for hemorrhagic stroke?
Blood pressure 160/100 mmHg
A stroke patient has been diagnosed with expressive aphasia. Which area of the brain has been damaged?
Broca's area
A clinician treating a patient with ischemic stroke is considering thrombolytic therapy. Which of the following would be a contraindication for this treatment? Select all that apply.
Anticoagulant therapy Bleeding problems Recent head injury
Which of the following is assessed by the National Institutes of Health Stroke Scale (NIHSS)? Select all that apply.
Ataxia Speech Language Sensation Motor function
A patient has suffered a stroke and is experiencing facial droop. What cranial nerve (CN) does the nurse expect to be affected?
CN VII
A nursing student is reviewing strokes. Which of the following indicates correct understanding?
initial clinical presentation does not distinguish between hemorrhagic and ischemic stroke
A nursing educator is asking students to review the cerebral artery most commonly affected in strokes. What is the correct response?
middle cerebral artery
A nurse is questioning a family member who appears to be suffering from an ischemic stroke. Recombinant-tissue plasminogen activator(rt-PA) may be given. The nurse knows timing is important for which of the following reasons?
thrombolysis is the most effective in the first 60 minutes
A patient is to be given thrombolytic therapy for an ischemic stroke. Which of the following would prevent this therapy from being used?
uncontrolled hypertension
