Level 4 - RNSG 2432 - CVA (1st powerpoint) Questions
With Complete Solutions
a carotid endarectomy is being considered as treatment for a
patient who has had several T.I.A's. What does the nurse explain
to the patient about this surgery? Correct Answer it involves
the removal of atherosclerotic plaque in the carotid artery to
prevent an impending stroke.
a patient arrives in the emergency department with an ischemic
stroke. what should the nurse do first? Correct Answer identify
the time & onset of the stroke
a subarachnoid hemmorhagic aneurysm., - is a congenital or
acquired weakness & ballooning of the vessel wall that may be
saccular ("berry") or fusiform Correct Answer a subarachnoid
hemmorhagic aneurysm., - ranges from a few millimeters to 20
to 30 millimeters in size.
a T.I.A. can be a precursor to an ischemic stroke. Correct
Answer ischemic strokes can be thrombotic & embolic.
a thrombotic ischemic stroke., - occurs from injury to a blood
vessel wall & formation of a blood clot. Correct Answer
thrombotic strokes., - are a result of thrombosis or narrowing of
the blood vessel.
agnosia., - can't interpret sensations or recognize things Correct
Answer apraxia., - difficulty with skilled movement.
,agnosia., - is the Loss of the ability to identify objects or people.
Correct Answer dysarthria., - is Weakness in the muscles used
for speech, which often causes slowed or slurred speech.
Agraphia., - is an acquired neurological disorder causing a loss
in the ability to communicate through writing, either due to
some form of motor dysfunction or an inability to spell. Correct
Answer .
alterations in reflexes in a stroke changes from initial hyp-o-
felexia to hyper-reflexia Correct Answer .
an embolic ischemic stroke., - is throwing a clot Correct
Answer embolic strokes., - occur when an embolus lodges in, &
occludes, a cerebral artery.
an embolic ischemic stroke., - results in infarction (obstruction
of the blood supply) & edema of the area supplied by the
involved vessel. Correct Answer an embolic stroke., - is when
an embolic becomes lodged in an artery & causes an occlusion.
an initial period of flaccidity in a stroke, may last from days to
several weeks & is related to nerve damage. Correct Answer
spasticity of muscles in a stroke follows the flaccid stage
anti-coagulants include., - warfarin, or Coumadin., - the reversal
antidote is vitamin K. Correct Answer therapeutic P.T., I.N.R.
levels for anti-coagulants is 2 to 3.
, anti-platelets include., - aspirin, clopidogrel, or Plavix., &
dipyridamole & A.S.A., or Aggrenox Correct Answer statins
include., - simvastatin, or Zocor, & lovastatin, or Mevacor
aphasia occurs when a stroke damages the dominant hemisphere
of the brain & affects language. Correct Answer receptive
aphasia is the loss of comprehension
aphasia., or dysphasia., - is A language disorder that affects a
person's ability to communicate Correct Answer dysphagia., -
is Difficulty swallowing
apraxia., - is difficulty with complex movements Correct
Answer .
apraxia., - is the Difficulty with skilled movements Correct
Answer contralateral., - relating to or denoting the side of the
body opposite to that on which a particular structure or condition
occurs.
arteriovenous malformations (AVM) intracerebral hemorrhagic
strokes., - are tangled masses of arteries & veins, frequently
found in the middle cerebral artery Correct Answer
intracerebral hemorrhagic strokes commonly occur during
periods of activity.
ataxia., - is an Impaired balance or coordination Correct Answer
akinesia., - is the loss or impairment of the power of voluntary
movement.