stroke SI quiz

Which modifiable risk factor for stroke would be most important for the nurse to include when planning a community education program? A Hypertension B Hyperlipidemia C Alcohol consumption D Oral contraceptive use

A

The nurse is teaching the family of a client with difficulty swallowing about decreasing the risk of aspiration while eating. Which of the following strategies should the nurse include in the teaching plan. (Select all that apply) A Maintaining an upright position while eating B Restricting the diet to liquids until swallowing improves C Introducing foods on the unaffected side of the mouth D Keeping distractions to a minimum E Cutting food into large pieces of finger food

ACD

When communicating with a client who has aphasia, which of the following are helpful? Select all that apply. A Present one thought at a time B Avoid writing messages C Speak with normal volume D Make use of gestures E Encourage pointing to the needed object.

ACDE

For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication? A Speaking loudly and slowly B Using a "picture board" for the client to point to pictures C Writing directions so client can read them D Speaking in short sentences

B

What is a priority nursing assessment in the first 24 hours after admission of the client with a thrombotic stroke? A Cholesterol level B Pupil size and pupillary response C Bowel sounds D Echocardiogram

B

When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke, which intervention should the nurse include in the plan of care? A Apply an eye patch to the right eye B Place objects needed on the patient's left side C Place objects needed on the patient's right side D Teach the patient that the left visual deficit will resolve

B

The nurse is teaching a client about taking prophylactic warfarin sodium (Coumadin). Which statement indicates that the client understands how to take the drug? Select all that apply. A "The drug's action peaks in 2 hours" B "Maximum dosage is not achieved until 3 to 4 days after starting the medication" C "Effects of the drug continue for 4 to 5 days after discontinuing the medication" D "Protamine sulfate is the antidote for warfarin" E "I should have my blood levels tested periodically"

B,C, E

Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin? A The patient has dysphasia. B The patient has atrial fibrillation. C The patient states, "My symptoms started with a terrible headache." D The patient has a history of brief episodes of right-sided hemiplegia.

C

During the first 24 hours after thrombolytic treatment from an ischemic stroke, the primary goal is to control the client's: A Pulse B Respirations C Blood Pressure D Temperature

C

Which sensory-perceptual deficit is associated with left-sided stroke (right hemiplegia)? A Overestimation of physical abilities B Difficulty judging position and distance C Slow and possibly fearful performance of tasks D Impulsivity and impatience at performing tasks

C

15. The nurse in a primary care provider's office is assessing several patients today. Which patient is most at risk for a stroke? A A 92-yr-old female patient who takes warfarin (Coumadin) for atrial fibrillation B A 28-yr-old male patient who uses marijuana after chemotherapy to control nausea C A 42-yr-old female patient who takes oral contraceptives and has migraine headaches D A 72-yr-old male patient who has hypertension and diabetes mellitus and smokes tobacco

D

19. Which intervention is most appropriate when communicating with a patient with aphasia after a stroke? A Present several thoughts at once so that the patient can connect the ideas. B Ask open-ended questions to provide the patient the opportunity to speak. C Finish the patient's sentences to minimize frustration associated with slow speech. D Use simple, short sentences accompanied by visual cues to enhance comprehension.

D

A 74-yr-old man who has right-sided extremity paralysis related to a thrombotic stroke develops constipation. Which action should the nurse take first? A Assist the patient to the bathroom every 2 hours. B Provide incontinence briefs to wear during the day. C Administer a bisacodyl (Dulcolax) rectal suppository every day. D Arrange for several servings per day of cooked fruits and vegetables.

D

A nurse is providing education to a patient with a recent diagnosis of a transient ischemic attack (TIA). Which of the statements by the patient indicates that the patient understands the information? A "Because TIAs don't cause permanent damage, I don't need to worry about having another one" B "TIAs are usually caused by large bleeds in the brain that resolve on their own" C "TIAs are usually caused by small bleeds in the brain that resolve on their own" D "It's important to seek medical attention immediately if I experience these symptoms again because it means I could be having a stroke"

D

A nurse is teaching a client who had a stroke about ways to adapt to a visual disability while ambulating. Which does the nurse identify as the primary safety precaution to use? A Wear a patch over one eye B Place personal items on the sighted side C Lie in bed with the unaffected side toward the door D Turn the head from side to side when walking

D

A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for A Surgical endarterectomy. B Transluminal angioplasty. C Intravenous heparin administration. D Tissue plasminogen activator (tPA) infusion.

D

A patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities. The nurse observes that when the patient's husband is visiting, he feeds and dresses the wife. Which nursing diagnosis is most appropriate for the patient? A Interrupted family processes related to effects of illness of a family member B Situational low self-esteem related to increasing dependence on spouse for care C Impaired nutrition: less than body requirements related to hemiplegia and aphasia D Disabled family coping related to inadequate understanding by patient's spouse

D

A patient with a stroke experiences right-sided arm and leg paralysis and facial drooping on the right side. When admitting the patient, which clinical manifestation will the nurse expect to find? A Impulsive behavior B Right Sided Neglect C Hyperactive left-sided reflexes D Difficulty in understanding commands

D

The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which statement by the nurse would provide accurate information? A "Take the person to the hospital if a headache lasts for more than 24 hours." B "Stroke symptoms usually start when the person is awake and physically active." C "A person with a transient ischemic attack has mild symptoms that will go away." D "Call 911 immediately if a person develops slurred speech or difficulty speaking."

D