AM Flashcards |
NU371 PREPU: MANAGEMENT OF PATIENTS WITH CEREBROVASCULAR
DISORDERS EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (36)
Which insult or abnormality can cause an a) Cocaine use
ischemic stroke? -
a) Cocaine use
Cocaine is a potent vasoconstrictor and may result in a life-threatening reaction,
b)Arteriovenous malformation even with the individual's first use of the drug. Arteriovenous malformations, trauma,
c)Trauma and intracerebral aneurysm rupture are associated with hemorrhagic stroke.
d) Intracerebral aneurysm rupture
A nurse is assisting with a community a) A 60-year-old Black man
screening for people at high risk for stroke. -
To which of the following clients would the
The 60-year-old Black man has three risk factors: gender, age, and race. Black
nurse pay most attention?
people have almost twice the incidence of first stroke compared with White people.
a)A 60-year-old Black man
b)A 40-year-old White woman
c) A 62-year-old White woman
d) A 28-year-old pregnant Black woman
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A client recently experienced a stroke b) "The client is unaware of his left side. You should approach him on the right side."
with accompanying left-sided paralysis. -
His family voices concerns about how to
best interact with him. They report the
The client is experiencing unilateral neglect and is unaware of his left side. The
client doesn't seem aware of their
nurse should advise the family to approach him on his unaffected (right) side.
presence when they approach him on his
Approaching the client on the affected side would be counterproductive. It's too
left side. What advice should the nurse
premature to make the determination whether this condition will be permanent.
give the family?
a) "The client is feeling an emotional loss.
He'll eventually start acknowledging you
on his left side."
b) "The client is unaware of his left side.
You should approach him on the right
side."
c) "The client is unaware of his left side.
You need to encourage him to interact
from this side."
d) "This condition is temporary."
A client undergoes cerebral b) Hemiplegia, seizures, and decreased level of consciousness
angiography for evaluation of a -
subarachnoid hemorrhage. Which findings
indicate spasm or occlusion of a cerebral
Spasm or occlusion of a cerebral vessel by a clot causes signs and symptoms similar
vessel by a clot?
to those of a stroke: hemiplegia, seizures, decreased level of consciousness,
a) Nausea, vomiting, and profuse sweating
aphasia, hemiparesis, and increased focal symptoms. Nausea, vomiting, and
b) Hemiplegia, seizures, and decreased
profuse sweating suggest a delayed reaction to the contrast medium used in
level of consciousness
cerebral angiography.
c) Difficulty breathing or swallowing
Difficulty breathing or swallowing may signal a hematoma in the neck. Tachycardia,
d) Tachycardia, tachypnea, and tachypnea, and hypotension suggest internal hemorrhage.
hypotension
Which is a contraindication for the a) Intracranial hemorrhage
administration of tissue plasminogen -
activator (t-PA)?
a) Intracranial hemorrhage
Intracranial hemorrhage, neoplasm, and aneurysm are contraindications for t-PA.
b) Ischemic stroke
Clinical diagnosis of ischemic stroke, age 18 years or older, and a systolic blood
c) Age 18 years or older pressure less than or equal to 185 mm Hg are eligibility criteria.
d) Systolic blood pressure less than or
equal to 185 mm Hg
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A nurse is teaching about ischemic stroke c) High amounts of low-fat dairy products
prevention to a community group and -
emphasizes that control of hypertension,
The DASH diet is high in fruits and vegetables, moderate in low-fat dairy products,
which is the major risk factor for stroke, is
and low in animal protein.
key to prevention. Ways to control
hypertension include the Dietary
Approaches to Stop Hypertension (DASH)
diet. This diet includes which of the
following?
a) Moderate amounts of low-fat dairy
products
b) Moderate amounts of animal protein
c) High amounts of low-fat dairy products
d) Moderate amounts of fruits and
vegetables
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