100% Solved 2025
what are the recommendations for BP post reperfusion? - Answer- <180/105 mmHg
what NIHSS score is associated with an increased fall risk - Answer- greater than or
equal to 8
what condition is often overlooked and linked to stroke-associated pneumonia - Answer-
dental disease
what stroke-specific assessments should be performed upon admission? - Answer- VS,
NIHSS, glucose, swallowing
blood glucose should be monitored in non-diabetic stroke pts - Answer- true
what intervention would you rapidly facilitate if your pt has a sudden decline in neuro
status? - Answer- emergency CT scan
what admitting diagnosis is most common for pts having in-hospital stroke - Answer-
cardiovascular
what should be assessed with neurovascular checks? - Answer- distal pulses, skin
color, and temperature
what complication is signaled by pulsatile bruit and groin pain following mechanical
thrombectomy? - Answer- pseudoaneurysm
what post reperfusion complication would back pain and flank bruising signal - Answer-
retroperitoneal hemorrhage
what swallowing-related test can a trained nurse perform on a stroke patient? - Answer-
bedside swallow screen
while on aspiration precautions, what level should the HOB be elevated during meals? -
Answer- 90 degrees
what intervention may help with bladder retraining? - Answer- consistent voiding
schedule
what complication is reduced by limiting venipuncture post reperfusion? - Answer-
bleeding
which pts should be screened for swallowing problems? - Answer- all stroke pts