HIGH ACUITY NURSING 7TH EDITION
KATHLEEN DORMAN WAGNER CHAPTER 1
TO 39 COMPREHENSIVE SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ antiHTN used for IICP. Answer: -sodium nitroprusside (not long
acting)
-nimodipine (CCB to decrease cerebral vessel spasm
⩥ causes of hemorrhagic strokes. Answer: -most commonly HTN
-vascular abnormalities, like aneurysms and AVMs
⩥ causes of ischemic strokes. Answer: emboli or thrombi; afib is a risk
factor
⩥ nursing management for stroke pt. Answer: -monitor VS
-neuro assessment (how often?)
-use NIH for detection of cerebral edema or extension of stroke
-HOB at 30 degrees
-avoid sharp drops in BP that could cause an ischemic event secondary
to hypotension
, -ID and treat dysrhythmias (afib)
-assess ability to speak and consult SLP
-communication aids
-monitor labs ESP glucose
-DVT precautions (heparin and SCDs)
-fall risk assessment
-skin assessment, q2 turns
-cranial nerve assessment
⩥ which aphasia occurs with loss of comprehension of language?.
Answer: receptive
⩥ this type of stroke results from bleeding in the brain tissue itself or the
subarachnoid space or ventricles. Answer: hemorrhagic
⩥ transient episode of neuro dysfunction caused by focal brain, sc, or
retinal ischemia w/o brain infarction. Answer: TIA
⩥ which two assessments are essential during initial txmt of ischemic
stroke?. Answer: glucose and O2 saturation
⩥ afib puts patient at risk for. Answer: stroke
KATHLEEN DORMAN WAGNER CHAPTER 1
TO 39 COMPREHENSIVE SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ antiHTN used for IICP. Answer: -sodium nitroprusside (not long
acting)
-nimodipine (CCB to decrease cerebral vessel spasm
⩥ causes of hemorrhagic strokes. Answer: -most commonly HTN
-vascular abnormalities, like aneurysms and AVMs
⩥ causes of ischemic strokes. Answer: emboli or thrombi; afib is a risk
factor
⩥ nursing management for stroke pt. Answer: -monitor VS
-neuro assessment (how often?)
-use NIH for detection of cerebral edema or extension of stroke
-HOB at 30 degrees
-avoid sharp drops in BP that could cause an ischemic event secondary
to hypotension
, -ID and treat dysrhythmias (afib)
-assess ability to speak and consult SLP
-communication aids
-monitor labs ESP glucose
-DVT precautions (heparin and SCDs)
-fall risk assessment
-skin assessment, q2 turns
-cranial nerve assessment
⩥ which aphasia occurs with loss of comprehension of language?.
Answer: receptive
⩥ this type of stroke results from bleeding in the brain tissue itself or the
subarachnoid space or ventricles. Answer: hemorrhagic
⩥ transient episode of neuro dysfunction caused by focal brain, sc, or
retinal ischemia w/o brain infarction. Answer: TIA
⩥ which two assessments are essential during initial txmt of ischemic
stroke?. Answer: glucose and O2 saturation
⩥ afib puts patient at risk for. Answer: stroke
