Cerebrovascular Accident Quiz

  • The 85-year-old client diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?

    • Prepare for STAT magnetic resonance imaging (MRI).
    • Administer a nonnarcotic analgesic.
    • Start an intravenous line with D5W at 100 mL/hr.
    • Complete a neurological assessment.
  • The client has been diagnosed with a cerebrovascular accident (stroke). The client’s wife is concerned about her husband’s generalized weakness. Which home modification should the nurse suggest to the wife prior to discharge?

    • Purchase clothes with Velcro closure devices.
    • Obtain a rubber mat to place under the dinner plate.
    • Obtain a raised toilet seat for the client’s bathroom.
    • Purchase a long-handled bath sponge for showering.
  • A 78-year-old client is admitted to the emergency department with numbness and weak- ness of the left arm and slurred speech. Which nursing intervention is priority?

    • Schedule for a STAT computed tomography (CT) scan of head.
    • Discuss the precipitating factors that caused the symptoms.
    • Prepare to administer recombinant tissue plasminogen activator (rt-PA).
    • Notify the speech pathologist for an emergency consult.
  • The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?

    • Sexual dysfunction.
    • Disturbed thought processes.
    • Powerlessness.
    • Potential for injury.
  • A client diagnosed with a subarachnoid hemorrhage has undergone a craniotomy for repair of a ruptured aneurysm. Which intervention will the intensive care nurse implement?

    • Encourage the client to cough hourly.
    • Administer a stool softener BID.
    • Maintain the dopamine drip to keep BP at 160/90.
    • Monitor neurological status every shift.

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Written by Frank Garcia

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