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4a - CVA (Stroke) Exam Study Guide Questions and Answers 100% Pass $12.49   Add to cart

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4a - CVA (Stroke) Exam Study Guide Questions and Answers 100% Pass

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4a - CVA (Stroke) Exam Study Guide Questions and Answers 100% Pass 1. A 78-year-old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech. Which nursing intervention is priority? 1. Prepare to administer recombinant tissue plasminogen activ...

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  • November 18, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CVA
  • CVA
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4a - CVA (Stroke) Exam Study Guide
Questions and Answers 100% Pass

1. A 78-year-old client is admitted to the emergency department with numbness and

weakness of the left arm and slurred speech. Which nursing intervention is priority?




1. Prepare to administer recombinant tissue plasminogen activator (rt-PA).


2. Discuss the precipitating factors that caused the symptoms.


3. Schedule for a STAT computed tomography (CT) scan of the head.


4. Notify the speech pathologist for an emergency consult. - ANSWER✔✔-1. The drug

rt-PA may be administered, but a cerebrovascular accident (CVA) must be verified by

diagnostic tests prior to administering it. rt-PA helps dissolve a blood clot, and it may

be administered if an ischemic CVA is verified, rt-PA would not be given if the client

were experiencing a hemorrhagic stroke.




2. Teaching is important to help prevent another CVA, but it is not the priority

intervention on admission to the emergency department. Slurred speech indicates

problems that may interfere with teaching.

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/15

, *3. A CT scan will determine if the client is having a stroke or has a brain tumor or

another neurological disorder. If a CVA is diagnosed, the CT scan can determine if it is

a hemorrhagic or ischemic accident and guide treatment.*




4. The client may be referred for speech deficits and/or swallowing difficulty, but

referrals are not priority in the emergency department.


2. The nurse is assessing a client experiencing motor loss as a result of a left-sided

cerebrovascular accident (CVA). Which clinical manifestations would the nurse

document?




1. Hemiparesis of the client's left arm and apraxia.


2. Paralysis of the right side of the body and ataxia.


3. Homonymous hemianopsia and diplopia.


4. Impulsive behavior and hostility toward family. - ANSWER✔✔-1. A left-sided CVA

will result in right-sided motor deficits; hemiparesis is weakness of one half of the body,

not just the upper extremity. Apraxia, the inability to perform a previously learned task,

is a communication loss, not a motor loss.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/15

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