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NUR 240 Exam 4 Neuro Iggy Questions
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NUR 240 Exam 4 Neuro Iggy Questions1. Which clinical finding could help the health care team differentiate a transient
ischemic attack from a stroke?
a. Patient has a unilateral facial droop.
b. Patient has slurred speech.
C. Symptoms resolve in 30-60 minutes.
d. Electrocardiogram is normal. - ANS-C. Symptoms resolve in 30-60 minutes.
2. The nurse is preparing to discharge a patient with transient ischemic attacks. What
topics does the nurse include in discharge teaching? Select all that apply.
a. Reduction of high blood pressure
b. Drug teaching for aspirin or other antiplatelet drug
c. Lifestyle changes such as smoking cessation
d. Self-care for managing chronic conditions, such as diabetes
e. Increased risk for stroke and signs/ symptoms
f. Benefits of taking vitamin supplements - ANS-a. Reduction of high blood pressure
b. Drug teaching for aspirin or other antiplatelet drug
c. Lifestyle changes such as smoking cessation
d. Self-care for managing chronic conditions, such as diabetes
e. Increased risk for stroke and signs/ symptoms
3. The home health nurse is assessing a patient who had a stroke that affected the right
hemisphere. What would the nurse expect to observe?
,a. Patient is overly anxious and cautious when asked to do a new task.
b. Patient is euphoric and smiling but disoriented to person, place, and time.
c. Patient is depressed and expresses ongoing worries about the future.
d. Patient has a flat affect but is able to answer most questions appropriately. - ANS-b.
Patient is euphoric and smiling but disoriented to person, place, and time.
4. The nurse is assessing a patient who was brought to the emergency department for
altered mental status. In the absence of family members or witnesses to give a history,
what does the nurse do to identify two conditions that could mimic emergent neurologic
conditions?
a. Check skin turgor and perform a bladder scan.
b. Check blood glucose and oxygen saturation.
C. Observe for jugular vein distention and pitting edema.
d. Observe for jaundice and abdominal distention. - ANS-b. Check blood glucose and
oxygen saturation.
5. Following a left cerebral hemisphere stroke, the patient has expressive (Broca's)
aphasia. Which intervention is best to use when communicating with this patient?
a. Repeat the names of objects on a routine basis.
b. Face the patient and speak slowly and clearly.
C. Obtain a whiteboard with an erasable marker.
d. Use a picture board that displays objects and activities. - ANS-d. Use a picture board
that displays objects and activities.
6. The nurse is caring for a patient with right cerebral hemisphere damage. The patient
demonstrates disorientation to time and place and neglect of the left visual field, and he
has poor depth perception. Which task is best delegated to unlicensed assistive
personnel?
, a. Move the patient's bed so that his affected side faces the door.
b. Teach the patient to wash both sides of his face.
C. Ensure a safe environment by removing clutter.
d. Suggest to the family that they bring familiar family photos. - ANS-C. Ensure a safe
environment by removing clutter.
7. A patient with a right cerebral hemisphere stroke may have safety issues related to
which factor?
a. Poor impulse control
b. Alexia and agraphia
C. Loss of language and analytical skills
d. Slow and cautious behavior - ANS-a. Poor impulse control
8. A stroke patient is at risk for increased intracranial pressure and is receiving oxygen 2
L via nasal cannula. The nurse is reviewing arterial blood gas (ABG) results. Which
ABG value is of greatest concern for this patient?
a. pH 7.32
b. Paco2 of 60 mm Hg
C. Pao2 of 95 mm Hg
d. HCO; of 28 mEq/L - ANS-b. Paco2 of 60 mm Hg
9. What is the priority concept for the interdisci- plinary care and treatment of a patient
who is suspected of having stroke?
a. Pain
b. Cognition
C. Perfusion
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