Chapter 57: Stroke Harding: Lewis's
Medical-Surgical Nursing Exam Questions
And Correct 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? - answerOral
low-do...
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? - answer✔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? - answer✔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)? - answer✔Call the health care provider if stools are tarry.
Rational:
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