Med surg exam 3 stroke practice questions 2021. Questions and answers, Graded A+

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Med surg exam 3 stroke practice questions 2021. Questions and answers, Graded A+ The nurse in a primary care provider's office is assessing several patients today. Which patient is most at risk f ... or a stroke? A. A 92-yr-old female patient who takes warfarin (Coumadin) for atrial fibrillation B. A 28-yr-old male patient who uses marijuana after chemotherapy to control nausea C. A 42-yr-old female patient who takes oral contraceptives and has migraine headaches D. A 72-yr-old male patient who has hypertension and diabetes mellitus and smokes tobacco - ✔✔D. A 72-yr-old male patient who has hypertension and diabetes mellitus and smokes tobacco The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which statement by the nurse would provide accurate information? A. "Take the person to the hospital if a headache lasts for more than 24 hours." B. "Stroke symptoms usually start when the person is awake and physically active." C. "A person with a transient ischemic attack has mild symptoms that will go away." D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." - ✔✔D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." When providing care to the patient with an acute stroke, which duty can be delegated to the LPN/LVN? A. Screen patient for tPA eligibility. B. Assess the patient's ability to swallow. C. Administer scheduled anticoagulant medications. D. Place equipment needed for seizure precautions in the room. - ✔✔C. Administer scheduled anticoagulant medications. Which modifiable risk factor for stroke would be most important for the nurse to include when planning a community education program? A. Hypertension B. Hyperlipidemia C. Alcohol consumption D. Oral contraceptive use - ✔✔A. Hypertension The nurse would expect to find what clinical manifestation in a patient admitted with a left-sided stroke? A. Impulsivity B. Impaired speech C. Left-side neglect D. Short attention span - ✔✔B. Impaired speech Which intervention is most appropriate when communicating with a patient with aphasia after a stroke? A. Present several thoughts at once so that the patient can connect the ideas. B. Ask open-ended questions to provide the patient the opportunity to speak. C. Finish the patient's sentences to minimize frustration associated with slow speech. D. Use simple, short sentences accompanied by visual cues to enhance comprehension. - ✔✔D. Use simple, short sentences accompanied by visual cues to enhance comprehension. A CT scan of a 68-yr-old male patient's head reveals that he has experienced a hemorrhagic stroke. What is the priority nursing intervention in the emergency department? A. Maintenance of the patient's airway B. Positioning to promote cerebral perfusion C. Control of fluid and electrolyte imbalances D. Administration of tissue plasminogen activator (tPA) - ✔✔A. Maintenance of the patient's airway A female patient has left-sided hemiplegia after an ischemic stroke 4 days earlier. How should the nurse promote skin integrity? A. Position the patient on her weak side the majority of the time. B. Alternate the patient's positioning between supine and side-lying. C. Avoid the use of pillows in order to promote independence in positioning.D. Establish a schedule for the massage of areas where skin breakdown emerges. - ✔✔B. Alternate the patient's positioning between supine and side-lying. Which sensory-perceptual deficit is associated with left-sided stroke (right hemiplegia)? A. Overestimation of physical abilities B. Difficulty judging position and distance C. Slow and possibly fearful performance of tasks D. Impulsivity and impatience at performing tasks - ✔✔C. Slow and possibly fearful performance of tasks The female patient has been brought to the emergency department complaining of the most severe headache of her life. Which type of stroke should the nurse anticipate? A. TIA B. Embolic stroke C. Thrombotic stroke D. Subarachnoid hemorrhage - ✔✔D. Subarachnoid hemorrhage The patient with diabetes mellitus had a right-sided stroke. Which nursing intervention should the nurse plan to provide for this patient? A. Safety measures B. Patience with communication C. Mobility assistance on the right side D. Place food in the left side of the patient's mouth. - ✔✔A. Safety measures The nurse is planning psychosocial support for the family of the patient who suffered a stroke. What factor will have the greatest impact on family coping? A. Specific patient neurologic deficits B. The patient's ability to communicate C. Rehabilitation potential of the patient D. Presence of complications of a stroke - ✔✔C. Rehabilitation potential of the patient A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following are expected findings? Select all that apply. a. impulse control difficulty b. left hemiplegia c. loss of depth perception d. aphasia e. lack of situational awareness - ✔✔a. impulse control difficulty b. left hemiplegia c. loss of depth perception e. lack of situational awareness A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? a. Teach the client to scan to the right to see objects on the right side of her body b. Place the bedside table on the right side of her bed c. Orient the client to the food on her plate using the clock method d. Place the wheelchair on the clients left side - ✔✔b. Place the bedside table on the right side of her bed A nurse is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? Select all that apply. a. Have suction equipment available for use b. Feed the client thickened liquids c. Place food on the unaffected side of the client's mouth d. Assign a UAP to feed the client slowly e. Teach the client to swallow with her neck flexed - ✔✔a. Have suction equipment available for use b. Feed the client thickened liquids c. Place food on the unaffected side of the client's mouth e. Teach the client to swallow with her neck flexed A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding? a. Impulse control difficulty b. Poor judgement c. Inability to recognize familiar objects d. Loss of depth perception - ✔✔c. Inability to recognize familiar objects A nurse is updating the health history of a pt who has been admitted to the hospital with a stroke. What question should the nurse ask the patient's support person? a.What was the time of onset of symptoms? b.How much food did the pt eat the previous night? c.What was the position of the pt when the symptoms arose? d.Was the pt wearing tight clothes at the time of the stroke? - ✔✔a.What was the time of onset of symptoms? A pt has suffered a stroke. Which neurologic factor will the nurse assess and record? a.Speech b.mobility c.respiratory function d.level of consciousness - ✔✔d.level of consciousness The patient is identified as having modifiable risk factors for stroke. Which of these risk factors will the nurse include in the teaching plan? a.Age b.gender c.heredity d.smoking - ✔✔d.smoking Which action would the nurse take first for a patient arriving at the emergency department with headache, nausea, hypertension, and difficulty talking? a.Prepare the patient for a CT scan. b.Place antiembolism stockings on the patient. c.Place a stat consult for the speech-language pathologist (SLP). d.Prepare to administer recombinant tissue plasminogen activator (tPA). - ✔✔a.Prepare the patient for a CT scan. Which statement is accurate about the recommendations for BP management after an ischemic stroke? a.A lower BP is a protective response to maintain cerebral perfusion. b.The BP must be lower than 160/70 mm Hg to receive fibrinolytic agents. c.Elevated BPs are expected after a stroke, and drug therapy should be initiated. d.Drugs to lower BP are recommended if the BP is 220/120 mm Hg or higher. - ✔✔d.Drugs to lower BP are recommended if the BP is 220/120 mm Hg or higher. Which issue would the nurse prioritize when planning care for a patient in the acute phase of an ischemic stroke? a.Impaired breathing b.Dysphagia c.Impaired verbal communication d.Muscle atrophy of paralyzed side - ✔✔a.Impaired breathing Which action would help a nurse to communicate better with a stroke patient with aphasia? a.Utilizing touch b.Nodding at all times c.Talking as if to a child d.Speaking loudly and firmly - ✔✔a.Utilizing touch Which ethnic group has the highest incidence of stroke? a.Asians b.Mexicans c.Caucasians d.Black - ✔✔d.Black The nurse finds the wife of a patient who experienced a stroke one week ago crying in the hallway. The wife tells the nurse, "I do not know if I can deal with this. He cries about everything and gets so moody with me." Which response by the nurse is most appropriate? a."This must be very frustrating for you." b."Depression is very common following a stroke." c."How did he react to stress before the stroke?" d."He cannot control how he reacts. This is something you need to accept." - ✔✔a."This must be very frustrating for you." A patient is admitted to the emergency department with right-sided facial drooping. When taking the patient's history, which information would be most significant? a."When did the facial drooping begin?" b."Do you have a family history of stroke?" c."Have you had facial drooping in the past?" d."Are you having any pain on the right side of your face?" - ✔✔a."When did the facial drooping begin?" Which type of food would the nurse feed the patient by mouth for the first time after a stroke? a.Thin liquids b.Pureed foods c.Crushed ice d.Milk products - ✔✔c.Crushed ice The patient recovering from a stroke who is confined to bed for most of the day is at risk for which condition? a.Fatigue b.Malnutrition c.Dehydration d.Constipation - ✔✔d.Constipation Which type of stroke is a patient at risk for if atrial fibrillation is untreated? a.Embolic stroke b.Thrombotic stroke c.Intracerebral hemorrhage d.Subarachnoid hemorrhage - ✔✔a.Embolic stroke A patient who had a stroke three days ago has constipation. Which interventions would be done first for a patient who had a stroke three days ago and has constipation? Select all that apply. a.Start laxatives. b.Give an enema. c.Provide suppositories. d.Encourage physical activity. e.Encourage fluid and fiber intake. - ✔✔d.Encourage physical activity. e.Encourage fluid and fiber intake. An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching? a."tPA is administered IV." b."tPA is administered by intra arterial infusion." c."tPA should be administered within 12 hours of the onset of a stroke." d."tPA requires BP monitoring during and 24 hours after the treatment." - ✔✔c."tPA should be administered within 12 hours of the onset of a stroke." How would the nurse explain a transient ischemic attack (TIA) to the spouse of a patient who just had a TIA? a.It is usually neurologically damaging. b.It is a signal of progressive brain damage. c.It can be a warning of an impending stroke. d.It is nothing to be concerned about because it is not a stroke. - ✔✔c.It can be a warning of an impending stroke. An experienced nurse is teaching a novice nurse about interventions for a patient with a stroke. Which statement by the novice nurse indicates a need for further teaching? a."I should maintain a calm and relaxing environment." b."I should refrain from scolding the patient during an emotional outburst." c."I should refrain from distracting the patient during a sudden emotional outburst." d."I should educate the patient and the family about emotional outbursts after a stroke." - ✔✔c."I should refrain from distracting the patient during a sudden emotional outburst." Which condition presents with a sudden onset of a headache, vomiting, and decreased level of consciousness? a.Embolic stroke b.Brain infarction c.Cerebral edema d.Hemorrhagic stroke - ✔✔d.Hemorrhagic stroke [Show More]

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