Cerebrovascular Accident Test Questions Answered Correctly (Chapter 28)

A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA). What part of the brain is affected? - Correct Answer Left hemisphere of the cerebrum Which patient is at the greatest risk for a CVA? - Correct Answer A 65-year-old African American man with hypertension A patient experienced a period of momentary confusion, dizziness, and slurred speech but recovered in 2 hours. Which assessment in the diagnosis of this episode would be most helpful? - Correct Answer Auscultation of a bruit over the carotid artery A nurse is updating a teaching plan for a patient who sustained a TIA. What should the nurse be sure to include? - Correct Answer Daily aspirin dose A patient recovering from a CVA asks the purpose of the warfarin (Coumadin). What is the best response by the nurse regarding the purpose of Coumadin? - Correct Answer Prevents the formation of new clots. A patient has had a complete stroke as a result of a ruptured vessel in the left hemisphere. How should this patient's CVA be classified? - Correct Answer Hemorrhagic, intracerebral What should a nurse ensure as a priority for a patient immediately after a CVA? - Correct Answer Airway maintenance When should a nurse recognize that the acute phase of a CVA has ended? - Correct Answer Vital signs and neurologic signs stabilize. A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent. What should this nurse determine when assessing this patient? - Correct Answer Stroke in evolution with dysarthria