CHAPTER 62 - MANAGEMENT OF PATIENTS WITH CEREBROVASCULAR DISORDERS

When administering thrombolytic therapy, the client is at risk for further bleeding if the international normalized ratio (INR) is greater than

2

Which term refers to the failure to recognize familiar objects perceived by the senses?

Agnosia

Which term refers to the inability to perform previously learned purposeful motor acts on a voluntary basis?

Apraxia

A client diagnosed with a stroke is ordered to receive warfarin. Later, the nurse learns that the warfarin is contraindicated and the order is canceled. The nurse knows that the best alternative medication to give is

Aspirin

Which of the following is the most common side effect of tissue plasminogen activator (tPA)?

Bleeding

Which statement reflects nursing management of the client with expressive aphasia?

Encourage the client to repeat sounds of the alphabet

The nurse practitioner advises a patient who is at high risk for a stroke to be vigilant in his medication regimen, to maintain a healthy weight, and to adopt a reasonable exercise program. This advice is based on research data that shows the most important risk factor for stroke is:

HTN

Which disturbance results in loss of half of the visual field?

Homonymous Hemianopsia

Which is a contraindication for the administration of tissue plasminogen activator (t-PA)?

Intracranial Hemorrhage

A client has experienced an ischemic stroke that has damaged the lower motor neurons of the brain. Which of the following deficits would the nurse expect during assessment?

Lack of deep tendon reflexes

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?

Lioresal (Baclofen)

Ways to control hypertension include the Dietary Approaches to Stop Hypertension (DASH) diet. This diet includes which of the following?

Moderate amounts of low-fat dairy products

A transcranial Doppler ultrasonography detects cerebral vasospasms in a client experiencing lethargy 8 days following a subarachnoid hemorrhage. The nurse anticipates which therapeutic intervention?

Nimodipine PO

The nurse is caring for a client recovering from a stroke. Which action will the nurse take to prevent adduction of the client's affected shoulder?

Place a pillow in the axilla area and position the wrist higher than the elbow

Which set of symptoms characterizes Korsakoff syndrome?

Psychosis, disorientation, delirium, insomnia, and hallucinations

Spatial-perceptual deficits is indicative of a ________ hemisphere stroke?

Right

When communicating with a client who has sensory (receptive) aphasia, the nurse should:

Use short, simple sentences

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?

Weakness on one side of the body and difficulty with speech

A diagnostic test has determined that the appropriate diet for the client with a left cerebrovascular accident (CVA) should include thickened liquids. Which of the following is the priority nursing diagnosis for this client?

Impaired Swallowing