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NUR 347 ( LATEST 2024 / 2025 ) FINAL EXAM | QUESTIONS & ANSWERS (SOLVED)
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NUR 347 ( LATEST 2024 / 2025 ) FINAL EXAM | QUESTIONS & ANSWERS (SOLVED)
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NUR 347 Final Exam1. What diagnostic tests would you anticipate the doctor to order for a patient who experienced
a stroke?
Answer
- CT/ CAT to identify if a hemorrhage occurred
- EKG
- chest x ray
- BMP and CMP
- coagulation studies
- angiography
2. What causes a CVA/ Stroke?
Answer
a decrease in cerebral blood flow leading to brain cell death and functional disability
3. Ischemic Stroke
Answer
occurs from an occluded artery causing a blockage of blood flow to a certain area of the brain
4. Hemorrhagic Stroke
Answer
caused by ruptured artery (like an aneurysm) and causes bleeding in or around the brain
5. Is a stroke a medical emergency?
,Answer
YES. Any stroke is considered a medical emergency and can strike suddenly. Treatment is
needed immediately to prevent neuro disabilities.
6. What are the types of ischemic/occlusive strokes?
Answer
Thrombotic and embolic
7. Describe a thrombotic CVA
Answer
- build of plaque causes narrowing of blood vessel and can lead to rupture
- plaque build up causes clot formation
- occurs gradually over years
- common areas include bifurcations in artery or junction of vertebro arteries
- where there is a split in a vein or artery there is a high chance of plaque build up
8. Describe an embolic CVA
Answer
- clot forms somewhere else in the body and eventually travels to the brain
- typically the clot is formed in the heart when the patient has A-Fib
- occurs suddenly
- can turn an ischemic stroke into a hemorrhagic stroke
9. How does a hemorrhagic CVA occur?
Answer
,- most common when hypertension in- creases pressure on the walls of the cerebral artery which
can lead to a dissection's or leakage of an aneurysm
- can happen is someone already has HTN, an aneurysm, or a CVM
10. How can a hemorrhagic CVA cause a "double injury"?
Answer
this is when the blood leaks from the ruptured vessel and pushes on the brain tissue. causes
neighboring tissues to lack their needed blood supply
11. What modifiable risk factors would you teach your patient to reduce their risk of stroke?
Answer
- Hypertension (most significant)
- cease smoking (smoking can double the risk)
- dyslipidemia (decrease your cholesterol)
- diet
- obesity (weight loss)
- diabetes
- exercise more
12. What are some non modifiable risk factors of stroke?
Answer
- family hx
- age (common in those younger than 65)
- race
- gender
, 13. What are some pathological conditions that can increase the risk for stroke?
Answer
- CAD
- diabetes mellitus
- hypertension
- dysrhythmias (A-Fib)
- migraine or headaches
- hypercoagulability states
- sickle cell disease
14. What is a TIA?
Answer
- transient ischemic attack
- similar to angina in an MI
- its a warning sign of a stroke
- interruption in blood flow and vasospasms
- symptoms usually resolves quick (30-60 min)
- treat like a stroke
15. What symptoms do you look for in a patient who is experiencing an ischemic CVA?
Answer
- blurred vision
- double vision
- blindness in one eye
- aphasia
- slurred speech (dysarthria)
- weakness in extremities
- weird gait (ataxia)
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