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Chapter 57: Stroke Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Practice Questions and Answers $9.99   Add to cart

Exam (elaborations)

Chapter 57: Stroke Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Practice Questions and Answers

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  • Lewis Medical Surgical Nursing
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  • Lewis Medical Surgical Nursing

Chapter 57: Stroke Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Practice Questions and Answers What topic should the nurse anticipate teaching a patient who had a brief episode of tinnitus, diplopia (double vision), and dysarthria (slurred speech) with no residual effects? - Ans...

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  • October 23, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical Surgical Nursing
  • Lewis Medical Surgical Nursing
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GraceAmelia
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Chapter 57: Stroke Harding: Lewis's Medical-Surgical
Nursing, 11th Edition Exam Practice Questions and
Answers


What topic should the nurse anticipate teaching a patient who had a brief episode of tinnitus, diplopia

(double vision), and dysarthria (slurred speech) with no residual effects? - Ans:✔✔-Oral low-dose aspirin

therapy


Rational:


The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit

platelet aggregation are prescribed after a TIA to prevent a stroke. Continuous heparin infusion is not

routinely used after TIA or with acute ischemic stroke. The patient's symptoms are not consistent with a

cerebral aneurysm. tPA is used only for acute ischemic stroke, not


for TIA.


A patient is being admitted with a possible stroke. Which information from the assessment indicates that

the nurse should consult with the health care provider before giving a prescribed dose of aspirin? -

Ans:✔✔-The patient reports that symptoms began with a severe headache.


Rational:


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is contraindicated. Atrial

fibrillation, dysphasia, and transient ischemic attack are not contraindications to aspirin use.


A patient being admitted with a stroke has right-sided facial drooping and right-sided arm and leg

paralysis. Which finding should the nurse expect? - Ans:✔✔-Difficulty comprehending instructions


Rational:


Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and

use of language. The left-side reflexes are likely to be intact. Impulsive behavior and neglect are more

likely with a right-side stroke.


During change of shift report, a nurse is told that a patient has an occluded left posterior cerebral artery.

What finding should the nurse anticipate? - Ans:✔✔-Visual deficits


Rational:


Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with


middle cerebral artery involvement. Cognitive deficits and changes in judgment are more typical of

anterior cerebral artery occlusion.


What will the nurse tell the patient who has cerebral atherosclerosis about taking clopidogrel (Plavix)? -

Ans:✔✔-Call the health care provider if stools are tarry.


Rational:

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