Exam 57: Stroke

A patient is being admitted with a possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving the prescribed aspirin?

A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate?

A male patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities. The nurse observes that when the patient's wife is visiting,she feeds and dresses him. Which nursing diagnosis is most appropriate for the patient?

The home health nurse is caring for an 81-yr-old who had a stroke 2 months ago. Based on information shown in the accompanying figure from the history,physical assessment,and physical and occupational therapy,which problem is the highest priority?

The nurse is caring for a patient who has been experiencing stroke symptoms for 60 minutes. Which action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness and decreasing level of consciousness. Which patient problem do they determine has the highest priority for the patient?

A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. Which test should be done first?

A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider?

Which information about the patient who has had a subarachnoid hemorrhage is most important to communicate to the health care provider?

After a patient experienced a brief episode of tinnitus,diplopia,and dysarthria with no residual effects,the nurse anticipates teaching the patient about

A 63-yr-old patient who began experiencing right arm and leg weakness is admitted to the emergency department. In which order will the nurse implement these actions included in the stroke protocol? (Put a comma and a space between each answer choice [A,B,C,D].)

A patient will attempt oral feedings for the first time after having a stroke. The nurse should assess the gag reflex and then

A 70-yr-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?

Several weeks after a stroke,a 50-yr-old male patient has impaired awareness of bladder fullness,resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?

After receiving change-of-shift report on the following four patients,which patient should the nurse see first?

During the change of shift report,a nurse is told that a patient has an occluded left posterior cerebral artery. The nurse will anticipate that the patient may have

When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke,which intervention should the nurse include in the plan of care?

Which stroke risk factor for a 48-yr-old male patient in the clinic is most important for the nurse to address?

When teaching about clopidogrel (Plavix),the nurse will tell the patient with cerebral atherosclerosis

A left-handed patient with left-sided hemiplegia has difficulty feeding himself. Which intervention should the nurse include in the plan of care?