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NU371 PREPU: MANAGEMENT OF PATIENTS WITH CEREBROVASCULAR DISORDERS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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

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3/21/25, 7:47 NU371 PrepU: Management of Patients with Cerebrovascular Disorders
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




1/
16

,3/21/25, 7:47 NU371 PrepU: Management of Patients with Cerebrovascular Disorders
AM Flashcards |
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




2/
16

, 3/21/25, 7:47 NU371 PrepU: Management of Patients with Cerebrovascular Disorders
AM Flashcards |




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




3/
16

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