Ch 16 Patho PREPU
The nurse explaining the causes of congenital hydrocephalus to the mother of a child born with hydrocephalus includes: Tumor Aqueductal stenosis Bacterial infection Hemorrhage
Aqueductal stenosis
Which intracranial volume is most capable of compensating for increasing intracranial pressure? Cerebrospinal fluid Surface sulci fluid Brain cell tissue Intravascular blood
Cerebrospinal fluid
A client's emergency room report includes the presence of a contrecoup injury. The nurse plans care for a client with which of the following? Closed head injury opposite the area of impact Open spinal cord injury with complete severing of neurons Closed head injury in the area of impact Infection resulting from exposed brain tissue
Closed head injury opposite the area of impact
A client has started having uncontrolled seizures that are not responding to usual medications. Nurses working with the client must pay special attention to which priority aspects of this client's care? Assessment of: ECG for arrhythmias Urine output and continence Ability to grasp hands and squeeze on command Respiratory status and oxygen saturation
Respiratory status and oxygen saturation
The health care provider is concerned that a client may be at risk for problems with cerebral blood flow. The most important data to assess would be: Decreased level of carbon dioxide Decreased level of oxygen Decreased level of PCO2 Decreased hydrogen ions
Decreased level of oxygen
A client's emergency magnetic resonance imaging (MRI) has been examined by the physician and tissue plasminogen activator (tPA) has been administered to the client. What was this client's most likely diagnosis? Subarachnoid hemorrhage Status epilepticus Encephalitis Ischemic stroke
Ischemic stroke
An adult client has been admitted to a rehabilitation center after hospital treatment for an ischemic stroke. Which aspect of the client's history would be considered to have contributed to his stroke? The client takes corticosteroids for the treatment of rheumatoid arthritis. The client is an Asian male. The client's blood pressure has historically been in the range of 150/90 to 160/100 mm Hg. The man takes iron supplements for the treatment of chronic anemia.
The client's BP has historically been in the range of 150/90 to 160/100 mmHG
A client suffering a thrombotic stroke is brought into the emergency department by ambulance and the health care team is preparing to administer a synthetic tissue plasminogen activator for which purpose? Thrombolysis Thrombogenesis Hemolysis Hemostasis
Thrombolysis
The most common cause of an ischemic stroke is which of the following? Intracerebral arterial vasculitis Vasospasm Cardiogenic embolus Thrombosis
Thrombosis
A client who is being seen in the outpatient clinic reports a single episode of unilateral arm and leg weakness and blurred vision that lasted approximately 45 minutes. The client is most likely experiencing: Cardiogenic embolic stroke Transient ischemic attack (TIA) Lacunar infarct Thrombotic stroke
Transient ischemic attack (TIA)