1. After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no
residual effects, the nurse anticipates teaching the patient about
a. cerebral aneurysm clipping.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tP...
1 after a patient experienced a brief episode of tinnitus
and dysarthria with no residual effects
the nurse anticipates teaching the patient about a cerebral aneurysm
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1. After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no
residual effects, the nurse anticipates teaching the patient about
a. cerebral aneurysm clipping.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA).
2. A 68-year-old 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 the prescribed aspirin?
a. The patient has dysphasia.
b. The patient has atrial fibrillation.
c. The patient reports that symptoms began with a severe headache.
d. The patient has a history of brief episodes of right-sided hemiplegia.
3. A 73-year-old patient with a stroke experiences facial drooping on the right side and right-
sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the
nurse expect to find?
a. Impulsive behavior
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b. Right-sided neglect
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c. Hyperactive left-sided tendon reflexes
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d. Difficulty comprehending instructions
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4. During the change of shift report a nurse is told that a patient has an occluded left posterior
o.
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cerebral artery. The nurse will anticipate that the patient may have
a. dysphasia.
ou urc
b. confusion.
c. visual deficits.
d. poor judgment.
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aC s
5. When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral
vi y re
atherosclerosis
a. to monitor and record the blood pressure daily.
b. that Plavix will dissolve clots in the cerebral arteries.
c. that Plavix will reduce cerebral artery plaque formation.
ed d
d. to call the health care provider if stools are bloody or tarry.
ar stu
6. A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy.
Which response by the nurse is accurate?
a. “The obstructing plaque is surgically removed from an artery in the neck.”
is
b. “The diseased portion of the artery in the brain is replaced with a synthetic graft.”
c. “A wire is threaded through an artery in the leg to the clots in the carotid artery and
Th
the clots are removed.”
d. “A catheter with a deflated balloon is positioned at the narrow area, and the
balloon is inflated to flatten the plaque.”
sh
7. A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria
that started 2 hours previously, and health records show a history of several transient
ischemic attacks (TIAs). The nurse anticipates preparing the patient for
a. surgical endarterectomy.
b. transluminal angioplasty.
c. intravenous heparin administration.
d. tissue plasminogen activator (tPA) infusion.
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