Chapter 67 test book questions
A
A patient had a carotid endarterectomy yesterday and when the nurse arrived in the room to perform an assessment, the patient states," All of a sudden, I am having trouble moving my right side." What concern should the nurse have about this information from the patient? A. A thrombus formation at the site of the endarterectomy B. This is a normal occurrence after an endarterectomy and would not be a concern C. Bleeding from the endarterectomy site D. Surgical wound infection
C
A patient having a stroke is having difficulty forming words. What would the nurse document this finding as? A. Ataxia B. Arthralgia C. Dysphagia D. Dysarthria
D
The nurse is caring for a patient having a hemorrhagic stroke. What position in the bed will the nurse maintain this patient? A. High-Fowler's B. Prone C. Supine D. Semi-Fowler's
A
What clinical manifestations does the nurse recognize when a patient has had a right hemispheric stroke? A. Left visual field deficit B. Aphasia C. Slow, cautious behavior D. Altered intellectual ability
A,B,D
A patient has had a large ischemic stroke and is hospitalized in the neurologic intensive care unit. What interventions will be provided for this patient to decrease intracranial pressure? (Select all that apply) A. Giving Mannitol B. Maintaining the partial pressure of carbon dioxide (PaCO2) within a range of 30 to 35 mm Hg C. Giving heparin to induce anticoagulation D. Giving supplemental oxygen if the oxygen saturation is below 88% E. Elevating the head of the bed to 30 degrees
B
A patient having an acute stroke with no other significant medical disorders has a blood glucose level of 420 mg/dL. What significance does the hyperglycemia have for this patient? A. The patient has new onset diabetes B. This is significant for poor neurologic outcomes C. The patient has developed diabetes insipidus due to the location of the stroke D. The patient has liver failure
C
A patient is brought to the emergency department experiencing a possible stroke. What initial diagnostic test for a stroke , usually performed in the emergency department would the nurse prepare the patient for? A. 12-lead electrocariogram B. Carotid ultrasound study C. Noncontrast comuted tomography D. Transcranial Doppler flow study
C
A patient is exhibiting classic sign of a hemorrhagic stroke. What report from the patient would be an inndicator of this type of stroke? A. Numbness of an arm or leg B. Double vision C. Severe headache D. Dizziness and tinnitus
A
The nurse recognizes that a patient is exhibiting symptoms associated with a TIA. After what period of time does the nurse determine these symptoms will subside? A. 1 hour B. 3 to 6 hours C. 12 hours D. 24 to 36 hours
C
A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this phase may last? A. Up to 2 weeks B. Up to 1 week C. 1 to 3 days D. Up to 24 hours
A
A patient that had a stroke is experiencing memory loss and impaired learning capacity. In which lobe does the nurse determine that brain damage has most likely occurred? A. Frontal B. Occipital C. Parietal D. Temporal
B
A patient who has had a stroke begins having complications regarding spacicity in the lower extremity. What prescribed medication does the nurse give to help activate this problem? A. Diphenhydramine B. Lioresal C. Heparin D. Pregabalin
A,B,C
After having a stroke, a patient has cognitive deficits. What are the cognitive deficits the nurse recognizes the patient has as a result of the stroke? (Select all that apply) A. Poor abstract reasoning B. Decreased attention span C. Short-and long-term memory loss D. Expressive aphasia E. Paresthesias.
A
An emergency department nurse understands that a 110-lb recent stroke victim will receive at least the minimum dose of recombinant t-PA. What minimum dose will the patient receive? A. 50 mg B. 60 mg C. 85 mg D. 100 mg
D
When should the nurse plan the rehabilitation of a patient who is having an ischemic stroke? A. The day before the patient is discharged B. After the patient has passed the acute phase of the stroke C. After the nurse has received the discharge orders D. The day the patient has the stroke
