NUR 426 Exam 3 Review Questions and Correct Answers
13 views 0 purchase
Course
NUR 426
Institution
NUR 426
What is an ischemic stroke? the occlusion of an artery by either a thrombus or an embolus
What is a hemorrhagic stroke? bleeding in the brain tissue or the subarachnoid area due to vessel integrity being interrupted
What is a transient ischemia attack (tia)? brief interruption in cerebral blood f...
NUR 426 Exam 3 Review Questions and
Correct Answers
What is an ischemic stroke? ✅the occlusion of an artery by either a thrombus or an
embolus
What is a hemorrhagic stroke? ✅bleeding in the brain tissue or the subarachnoid area
due to vessel integrity being interrupted
What is a transient ischemia attack (tia)? ✅brief interruption in cerebral blood flow
(mini stroke)
What are the risk factors for stroke? ✅-afib
-high cholesterol
-htn
-smoking
-diabetes
-obesity
-use of oral contraceptives
-post mi
-genetics
-endocarditis
-cocaine use
-heart valve disease
What are the abcs of stroke prevention education? ✅a-aspiring use when appropriate
(81mg/day)
B- blood pressure control
C- cholesterol management (diet modification, medications)
S- smoking cessation
What are the signs and symptoms of stroke? ✅-one side facial droop
-weakness on one side
-numbness or altered sensation
-headache, dizziness
-unresponsive or collapse
-trouble with balance
-difficulty speaking
-ams
* symptoms are on one side*
What is the number one question to ask a patient that presents with stroke symptoms?
✅when id the symptoms start
,-determines the treatment style
Assessment questions for stroke ✅-when did the symptoms start
-what were you doing when the symptoms started
-how did the symptoms progress
-have the symptoms improved
-what is your medical history (hx of stroke, hx of recent bleeding, tbii, afib, drug use)
-what meds are you currently on
Assessment data you ask/find out for stroke ✅-accurate weight of the patient
-full set of vitals
-blood glucose asap (may just be hypoglycemia)
-find out if they have a headache and if its the worst headache of their life (hemorrhagic
can feel like a crushing pain)
What is the max time limit you need to get a patient to the cta from when they walk in
the door? ✅25 minutes
Why do you get a ct scan for a patient with stroke like symptoms? ✅you want to see if
there is presence of blood to determine if it is a hemorrhagic stroke or not
What important information do we document before providing stroke treatment? ✅-
accurate weight
-last known well
-hx of stroke
-blood pressure
-gcs
-dysphagia screen
-nihss
For ischemic strokes, what early intervention is the standard of practice to improve
blood flow to viable tissue? ✅tissue plasminogen activator (r-tpa)
Alteplase
-dependent on the interval between the time the symptoms began and treatment is
available
What is tpa? ✅a fda approved clot busting agent
How long do you have from beginning of stroke symptoms to administration of tpa?
✅3-4.5 hours of last known well
Before administering tpa, what do you need to know/obtain? ✅-weight
-bp
-lkw
-signs of bleeding
, -blood sugar
-confirmed ct shows no bleeding
-hx of bleeding or stroke
-current meds
-allergies
-airway (abcs)
A patient cannot receive tpa if their blood pressure is _________, if the patient has had
recent internal bleeding within __________, or had a recent stroke. ✅-185/110 or
higher
-3 months
The goal is to start treatment within how much time after arrival? ✅45 minutes
How is tpa administered? ✅reconstituted at bedside, based on the patients weight
What are the steps to the administration of tpa? ✅-ensure accurate weight and lnw is
obtained
-verify order and patient consent
-check bp
-ensure the patient has two patent large bore ivs
-mix tpa with saline by gently rolling. Never shake
-spike administration set and prime tubing
-follow hospital policy for removal/administration dose
-verify waste, bolus, and pump administration with a second rn
During the administration of tpa, how long do you stay with the patient? What do you
check? ✅the entire one hour infusion
-q15min neuro checks
After the administration of tpa, what do we do? ✅-flush the line with 50ml normal saline
-monitor q3omin neuro checks
-frequently assess the airway
What assessment finding would be cause to immediately stop the infusion ✅-bleeding
-ams
After tpa, what do we not do to the patient? ✅-no invasive procedures
-no im shots
-trauma
-excessive movement of the patient
-no foley
After tpa, what tests may be altered and unreliable? ✅clotting tests
-ptt
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
