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NURS280 Last Exam With 100% Correct Answers
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NURS280 Last Exam With 100%Correct Answers
transient ischemic attack - Answer temporary neurologic deficit resulting from a
temporary impairment of blood flow
stroke - Answer sudden loss of function resulting from a disruption of the blood supply
to a part of the brain
ischemic stroke - Answer disruption of blood supply (large artery thrombosis...)
clot can cause lack of blood supply or weakened vessels
manifestations of ischemic stroke - Answer numbness/weakness, confusion, trouble
speaking or understanding, changes in motor control, sudden severe headache
BEFAST - Answer balance, eyes, face, arm weakness, speech difficulty, time(911!)
golden standard treat for ischemic stroke - Answer -alteplase IV push
stroke medical management - Answer prevention: control hypertension
diagnosis: CT scan
- bedrest, O2
treat: vasospasms, HTN, potential seizures
ischemic stroke assessment - Answer acute phase: ongoing monitoring, vitals,
nuerologic, LOC, speech, pupil change, I&Os, O2 sats, bleeding
hemiplegia - Answer complete loss of strength or paralysis on one side of the body
hemiparesis - Answer mild or partial weakness on one side of the body
expressive aphagia - Answer difficulty producing speech
receptive aphasia - Answer difficulty understanding speech
hemianopsia - Answer loss of vision in one or both eyes
apraxia - Answer inability to perform previously learned action (forgot how to ride my
bike)
stroke risk factors - Answer modifiable:
-HTN (primary risk)
-carotid stenosis
, -atrial fibrilation
-hypercoagulable state (post covid)
-obesity
-smoking
stroke prevention - Answer health maintenance, healthy lifestyle, no smoking, exercise,
anticoagulant therapy, antiplatelet therapy
hemorrhagic stroke - Answer acidic blood leaks onto the brain killing tissue (burst
vessel)
hemorrhagic stroke causes - Answer -bleeding
-ICP increase
-spontaneous rupture of small vessels
hemmorrhagic manifestations - Answer similar to ischemic,
-WORST HEADACHE OF MY LIFE
- vomiting
-bleeding
management of acute phase of stroke - Answer - rule out hemorrhagic stroke before
thrombolytic therapy
- thrombolytic therapy side effects are potential beeding
-elevate head of bed, maintain airway
assessment of pt w/ hemorrhagic stroke - Answer -ongoing neuro assess
-altered LOC
-sluggish pupillary response
-cranial nerve deficits
-speech difficulties
-headache
nursing interventions post hem stroke - Answer goal: optimize cerebral tissue perfusion
-bedrest HOB 30 degrees
-avoid activity that increases ICP and BP
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