Stroke (CVA) Nursing Care Plan
NCLEX & Med-Surg Study Guide
1. Overview of Stroke
A stroke (Cerebrovascular Accident – CVA) occurs when blood flow
to part of the brain is interrupted, resulting in brain cell damage due to
lack of oxygen and nutrients.
Two main types:
Type Cause
Ischemic Stroke Blood clot blocking a vessel
Hemorrhagic Stroke Ruptured blood vessel causing bleeding
Stroke is a medical emergency requiring rapid treatment.
2. Common Signs and Symptoms
• Sudden weakness or paralysis (often one side of body)
• Facial drooping
• Slurred speech
• Difficulty swallowing
• Vision problems
• Loss of balance or coordination
• Severe headache
• Confusion
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3. Nursing Assessment
Subjective Data
• Difficulty speaking
• Dizziness
• Weakness
• Headache
Objective Data
• Facial drooping
• Slurred speech
• Hemiplegia or hemiparesis
• Altered level of consciousness
• Difficulty swallowing (dysphagia)
4. Diagnostic Tests
Test Purpose
CT Scan Detect bleeding or ischemia
MRI Detailed brain imaging
Carotid ultrasound Detect artery blockage
Blood tests Evaluate clotting
5. Nursing Care Plans
Nursing Diagnosis 1
Ineffective Cerebral Tissue Perfusion