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