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Which of the following, if left untreated, can lead to an ischemic stroke?

Atrial fibrillation Atrial fibrillation if left untreated, it can lead to an ischemic stroke.

Regarding a CVA. One concern the APN addresses is a potential for falls. What would be most important for the APN to include in teaching of the client and family related to this concern?

Remove throw rugs and electrical cords from home environment. Also, clutter, and electrical cords from the client's home environment to reduce the potential for falls.

Which of the following is a contraindication for the administration of tissue plasminogen activator aka t-PA.

hemorrhagic stroke

Which of the following is the initial diagnostic test for a stroke?

Noncontrast CT scan.

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

Bleeding. Patient is closely monitored for bleeding at IV insertion sites, gums, urine/stools, and intracranially by assessing changes in level of consciousness.

*A nurse is planning care for a client who experienced a stroke in the right hemisphere of his brain. What should the nurse do?

Provide close supervision because of the client's impulsiveness and poor judgment.

A client has experienced an ischemic stroke that has damaged the frontal lobe of his brain. Which of the following deficits does the nurse expect to observe during assessment?

Limited attention span and forgetfulness Damage to frontal lobe impairs learning capacity, memory, or other higher cortical intellectual functions. and may be reflected in a limited attention span, difficulties in comprehension, forgetfulness, and a lack of motivation.

If warfarin is contraindicated as a treatment for stroke, which of the following medication is the best option?

Aspirin

Regarding a transient ischemic attack, lifestyle changes would include Blood pressure control. Weight loss. Antiplatelet therapy.

Controlling hypertension, losing weight, and anticoagulant/antiplatelet therapy are typical medical interventions prescribed to prevent stroke.

A client who is at high-risk for a cerebrovascular accident has medication ordered to lower their cholesterol and to prophylactically anticoagulate them. What specific agent might be diagnosed for this client?

Daily aspirin . Specific agents include daily aspirin as well as antiplatelet or anticoagulant therapy such as clopidogrel aka Plavix), ticlopidine aka Ticlid), warfarin aka Coumadin, and dipyridamole aka Persantine. Heparin is not the drug of choice for prophylactic anticoagulation therapy.

The nurse is caring for a client who has had a cerebrovascular accident. The client has difficulty swallowing. What intervention would it be important for the nurse to institute?

Encourage client to eat semisolid foods and cold foods. Semisolid and medium-consistency foods such as pudding, scrambled eggs, cooked cereals, and thickened liquids are easiest to swallow. Cold foods stimulate swallowing. Avoid tepid foods as they are more difficult to locate in the mouth.

How often should neurologic assessments and vital signs be taken initially for the patient receiving tissue plasminogen activator aka tPA?

Every 15 minutes and vital signs except temperature should be taken every 15 minutes while receiving tPA infusion.

A client tells the nurse that they have transient ischemic attacks. The client reports having undergone a carotid artery surgery. In such a case, what important assessments should be performed by the nurse?

Frequent neurologic checks If the client undergoes carotid artery surgery, the nurse performs frequent neurologic checks to detect paralysis, confusion, facial asymmetry, or aphasia.

A critical care nurse is caring for a client with a cerebrovascular accident (CVA) The client is prescribed heparin for treatment. The nurse knows to monitor the client for what adverse effects?

Hemorrhage. A client with a CVA who is given heparin should be monitored for hemorrhage and bleeding at the subcutaneous injection site.

You are caring for a client admitted with a stroke. Imaging studies indicate an embolus partially obstructing the right carotid artery. What type of stroke do you know this client has?

Ischemic. Ischemic strokes occur when a thrombus or embolus obstructs an artery carrying blood to the brain about 80% of strokes are the ischemic variety.

Which of the following antiseizure medication has been found to be effective for post-stroke pain?

Lamotrigine aka Lamictal The antiseizure medication lamotrigine (Lamictal) has been found to be effective for post-stroke pain.

Which of the following is the initial diagnostic in suspected stroke?

Noncontrast computed tomography (CT) An ischemic infarction will not be readily visible on initial CT scan if it is performed within the first few hours after symptoms onset; however, evidence of bleeding will almost always be visible.

Which of the following is accurate regarding a hemorrhagic stroke?

The Main presenting symptom is an "exploding headache." In ischemic stroke, functional recovery usually plateaus at 6 months;

A patient with impaired swallowing should be helped to eat food with texture. Sit patient upright , flex patient's chin toward the chest, feed slowly & promote easy swallowing to reduce risk of aspiration or airway obstruction.

The patient should be allowed to rest before meals because fatigue may interfere with coordination and following instructions. Liquids should be offered frequently but in small quantities.

Administering heparin, an anticoagulant, could increase the bleeding associated with hemorrhagic stroke.

The physician may use dexamethasone to decrease cerebral edema and pressure;

What is the treatment window for thrombolytic therapy (TPA)

Three hours. Rapid diagnosis of stroke and initiation of thrombolytic therapy within 3 hours for ischemic stroke leads to decrease size of the stroke and improvement in functional outcome after 3 months.

A client is has right-sided weakness. Within 6 hours of being admitted, the neurologic deficits has resolved and the client was back to their presymptomatic state. Tthe probable cause of the neurologic deficit was what?

Transient ischemic attack A transient ischemic attack TIA is a sudden, brief attack of neurologic impairment caused by a temporary interruption in cerebral blood flow.

What is the chief cause of intracerebral hemorrhage (ICH)?

Uncontrolled hypertension. Primary intracerebral hemorrhage (ICH) from a spontaneous rupture of small arteries or arterioles accounts for approximately 80% of hemorrhagic strokes and is caused chiefly by uncontrolled hypertension.

What is the primary initial symptoms of an ischemic stroke?

Weakness on one side of the body and difficulty with speech

What is associated with hemorrhagic strokes in young people a. Arteriovenous malformations b. hypertension

a