COMPLETE NURSING QUESTIONS AND
ANSWERS PACKAGE
◉ priority action of a patient having a seizure.
Answer: Assist the client to a safe position to prevent injury, lying
with something soft to protect the head as needed
◉ amyotrophic lateral sclerosis (ALS).
Answer: loss of motor neurons in the anterior horn of the spinal
cord and loss of motor nuclei of the lower brainstem
◉ Goal with ALS.
Answer: Provide supportive care to the patient and family. As the
disease progresses, the patient becomes very weak, and paralysis
gets worse; therefore, these patients need assistance with ADLs.
◉ manifestations of ALS.
Answer: -progressive weakness and atrophy of muscle, cramps,
twitching, and lack of coordination
-spasticity, deep tendon reflexes brisk, and overactive
-difficulty speaking, swallowing, breathing
,◉ management of ALS.
Answer: NO CURE
-medications
-symptom management
-community care
-end-of-life
◉ Non-modifiable risk factors for stroke.
Answer: age, gender, ethnicity
◉ modifiable risk factors for stroke.
Answer: Hypertension
Cardiovascular disease
Elevated cholesterol or elevated hematocrit
Obesity
Diabetes
Oral contraceptive use
Smoking and drug and alcohol abuse
◉ what is the primary stroke risk factor?.
Answer: hypertension
,◉ stroke.
Answer: "brain attack"
-sudden loss of function resulting from a disruption of the blood
supply to a part of the brain
◉ BEFAST.
Answer: Balance
Eyes
Face
Arms
Speech
Time
◉ ischemic stroke.
Answer: disruption of the blood supply caused by an obstruction,
usually a thrombus or embolism, that causes infarction of brain
tissue
◉ types of ischemic stroke.
Answer: Large artery thrombosis
Small penetrating thrombosis
, Cardiogenic embolic
Cryptogenic
Other
◉ manifestations of ischemic stroke.
Answer: Symptoms depend on the location and size of the affected
area
Numbness or weakness of face, arm, or leg, especially on one side
Confusion or change in mental status
Trouble speaking or understanding speech
Difficulty in walking, dizziness, or loss of balance or coordination
Sudden, severe headache
Perceptual disturbances
◉ Transient Ischemic Attack (TIA).
Answer: Minor stroke; where neurological function is regained
quickly with time
◉ preventive treatment of TIA and stroke.
Answer: Carotid endarterectomy for carotid stenosis
Anticoagulant therapy for atrial fibrillation
Antiplatelet therapy