Stroke / CVA / Seizure Test questions Solved
100% Correct
Which sensory-perceptual deficit is associated with left-hemispheric stroke (right hemiplegia)? -
✔✔Slow and possibly fearful performance of tasks
Carotid Endarterectomy - ✔✔• procedure to remove atherosclerotic plaques that block
cerebral blood flow
• done to prevent impending cerebral infarction / stroke
Right Hemiplegia (LEFT brain stroke) - ✔✔pt's are slower in organization & performance of
tasks. pt's may be fearful / anxious
Transluminal angoplasty - ✔✔• balloon catheter opens stenosed artery & stent placed to
maintain patency & improve flow
• prevents stroke
• complication in immediate post-op period = bleeding
A patient has been found to have amyotrophic lateral sclerosis. What classic symptom of the
disorder does the nurse recognize? - ✔✔Dysphagia
Weakness of the muscles of the legs that progresses to weakness in the upper extremities,
dysarthria (difficulty in speech), and dysphagia (difficulty swallowing) are all classic symptoms
of ALS.
A patient who has been diagnosed with stroke is complaining of difficulty in movement of the
joints. What should the nurse do? Select all that apply. - ✔✔promote exercises
provide hand splints
, To optimize the mobility of patients with spasticity, the nurse should provide hand splints and
promote exercises. Passive range-of-motion exercises should be encouraged to avoid swelling.
Bed rest is not advised; moving around and doing exercise contributes to early recovery and
fewer complications. Joint immobilization is not advised after a stroke; mobilization after stroke
helps speed recovery.
The nurse is performing a physical examination on a patient with Parkinson's disease. What
manifestations of Parkinson's disease is the nurse likely to find? Select all that apply. -
✔✔drooling of saliva
shuffling, propulsive gait
decreased arm swing
A nurse is interviewing a patient who is seeking relief for frequent headaches. Which
description is consistent with symptoms of a migraine headache? - ✔✔The pain throbs and is
synchronous with the patient's pulse.
The nurse should instruct the patient on phenytoin (Dilantin) to perform which action to
prevent gingival hyperplasia? - ✔✔Brush teeth at least 2X per day
Dilantin - ✔✔Assess for nystagmus / confusion / diplopia
What instructions should the nurse give to a patient being treated with carbamazepine
(Tegretol) for seizures? Select all that apply. - ✔✔do not take the drug w/ grapefruit
do not stop abruptly
notify DR about any vision problems
An adult patient, whose parent died from Huntington's disease, is discussing the condition and
genetic testing with a nurse. Which of the patient's statements needs to be corrected by the
nurse? - ✔✔Positive genetic testing indicates at what age the symptoms of the disease will
occur.
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