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Chapter 17 Question 1 The nurse is providing community education regarding stroke. Which information should be included? 1. Stroke is caused by interruption of blood flow to the brain. 2. Stroke is the third-leading cause of death in the United States. 3. Stroke usually occurs simultaneously with myocardial infarction. 4. Rapid recognition of stroke symptoms can help decrease poor outcomes. 5. Stroke causes neurological defects. Question 2 A patient comes into the emergency department with complaints of partial loss of vision in one eye, numbness and tingling of the arm and leg, and dizziness. Which additional information should the nurse initially seek from the patient? 1. If the patient has high blood pressure 2. If the symptoms are still present 3. If this is a recurrent problem 4. If the patient fell Question 3 When developing a teaching plan for a patient who had an embolic stroke, the nurse considers which history as a significant risk factor? 1. Hypertension 2. Use of anticoagulants 3. History of atherosclerosis of cerebral arteries 4. Atrial fibrillation Question 4 When planning nursing care for a patient with a cerebral vascular accident, the nurse should consider which primary goal of medical management? 1. Restoration of cerebral blood flow and limiting the size of the infarcted area of the brain 2. Keeping the blood pressure under control pharmacologically 3. Transferring the patient for rehabilitation as soon as medically stable 4. Reestablishing blood flow to the infarcted area surgically Question 5 Diagnostic testing reveals that a patient has areas of cerebral focal infarctions. The nurse plans care with the realization that which outcome is likely? 1. The patient will likely deteriorate into multiple system organ failure. 2. These areas of ischemia will likely extend into the brainstem. 3. The patient’s symptoms will likely resolve with treatment. 4. The patient’s symptoms will progress rapidly. Question 6 A patient with cerebral infarction is experiencing an acceleration of symptoms indicating death of cerebral tissue. The nurse would explain this acceleration as due to which pathophysiology? 1. Increased concentration of sodium, chloride, and calcium in the brain cells 2. Reduced ability of the macrophages to reach the site of injury 3. Reduced concentration of magnesium and phosphorus in the brain cells 4. Increased concentration of potassium in the brain cells Question 7 The nurse is instructing a patient on stroke prevention. Which patient statement would the nurse evaluate as indicating understanding of the presence of a nonmodifiable risk factor for stroke development? 1. “I have hypertension just like my mom and her family.” 2. “Lots of people of my ethnicity suffer strokes.” 3. “I have tried several times to quit smoking, but I just can’t seem to do it.” 4. “It is going to be hard to give up eating red meat and my favorite family meals just to lower my cholesterol.” Question 8 The nurse is assessing a newly admitted older patient for modifiable risk factors for stroke development. The nurse would include teaching about which findings? 1. Blood pressure is consistently above 95 diastolic. 2. The patient has had two recent hospital admissions to treat dehydration. 3. The patient reports drinking a glass of wine with dinner every evening. 4. The patient uses smokeless tobacco. 5. Testing has previously indicated the patient has hypercholesterolemia. Question 9 The nurse is triaging a patient who just presented to the emergency department. Which cluster of assessment findings would the nurse evaluate as indicated the greatest possibility that this patient is having a stroke? 1. Radicular pain, decreased deep tendon reflexes, loss of bladder control 2. Dysphagia, hemianopsia, hemiparesis 3. Dystonia, dysphagia, dysarthria 4. Paresthesia, priaprism, loss of reflexes Question 10 A patient, admitted with syncope, is diagnosed with an 80% stenosis of the left carotid artery. In addition to assessing the patient’s speech, the nurse should focus the assessment on the presence or development of which other findings? 1. Vertigo and cranial nerve palsies 2. Monocular blindness and left-sided sensory loss 3. Double vision and ataxia 4. Right sided hemineglect, sensory and motor loss