CHA2: Neurologic Problems

b, c, d, e

Which statements about stroke prevention indicate a client's understanding of health teaching by the nurse? (sata.) a. "I will take aspirin every day." b. "I have decided to stop smoking." c. "I will try to walk at least 30 minutes most days of the week." d. "I need to cut down a lot on my drinking." e. "I'm going to decrease salt in my diet."

C

. A family member asks the nurse about whether there would be any long-term psychological effects from a client's mild traumatic brain injury. What is the nurse's best response? a. "You need to talk with the client's primary health care provider." b. "Usually any effects last for only a few weeks or months." c. "Each person's reaction to brain injury is different." d. "You should expect a change in the client's personality."

b. Alteplase can cause bleeding, epistaxis is a nosebleed and there fore a concern. BP of 144/90 is acceptable for a stroke patient.

1. The nurse is caring for a patient treated with alteplase following a stroke. What assessment finding is the highest priority for the nurse? a. Client's blood pressure is 144/90. b. Client is having epistaxis. c. Client ate only half of the last meal. d. Client continues to be drowsy.

c. expressive aphasia patients have difficulty with speaking and writing, not understanding. SLP does not help with immediate communication.

1. The nurse is caring for a patient with expressive (Broca's) aphasia. Which nursing intervention is appropriate for communicating with the client? a. Refer the patient to the speech-language pathologist. b. Speak loudly to help the client interpret what is being said. c. Provide pictures to help the client communicate. d. Ask the client to read messages on a white board.

b

client returns from PACU after removal of a brainstem tumor. What position will the nurse place the client? a. Turn the patient from side to side to prevent aspiration. b. Keep the client flat in bed or up 10 degrees and reposition from side to side. c. Elevate the head of the bed to at least 30 degrees at all times. d. Keep the client in a sitting position in bed at all times.