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