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NURS 405A EXAM 1 Questions + Answers Graded A+

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  • NURS 405A

Transient Ischemic Attack (TIA) - ️️associated with an increased risk of stroke - warning sign - TIME TO MODIFY RISK FACTORS - know the S/S of stroke so if does happen to pt, they will call for help stroke - ️️ischemia or hemorrhage into the brain resulting in death of brain cells - br...

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  • October 13, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 405A
  • NURS 405A
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ACADEMICMATERIALS
NURS 405A EXAM 1
Transient Ischemic Attack (TIA) - ✔️✔️associated with an increased risk of stroke
- warning sign
- TIME TO MODIFY RISK FACTORS
- know the S/S of stroke so if does happen to pt, they will call for help

stroke - ✔️✔️ischemia or hemorrhage into the brain resulting in death of brain cells
- brain attack
- cerebrovascular accident (CVA)
- loss of function varies according to location and extent of brain tissue involved

with a stroke what does the loss of function depend on? - ✔️✔️it varies according to
location and extent of brain tissue involved

stroke damage - left brain - ✔️✔️trouble speaking or understanding spoken or written
words

slow, careful movements

inability to see things on the right side of body

safety issue = bc can't see on right side of body
- shouldn't be driving
- ambulation issues include just walking around and not seeing some tripping hazards
or a break in the sidewalk = take precautions

stroke damage - right side - ✔️✔️trouble with visual perception

neglect of left side of body

inability to see things to the left

poor decision making

impulsiveness

short attention span

slow learning of new things

safety issue = can't see on left side of body

,how do you teach pts that suffered from a R-sided stroke to take care of themselves
when they go home - bc they're slow to learn new things - ✔️✔️break it down into very
small sessions

keep repeating them, have them do teach back until we are convinced that they can do
it

what is the 5th leading cause of death for americans? - ✔️✔️stroke

the role of race & ethnicity in strokes - ✔️✔️risk of first stroke is 2x as high for BLACKS
as for WHITES

BLACKS are MORE LIKELY TO DIE following a stroke than whites

HISPANICS' stroke risk falls between that of whites and blacks

AMERICAN INDIANS, ALASKA NATIVES, AND BLACKS are more likely to have a
stroke

Age with strokes - ✔️✔️STROKE RISK VARIES BY AGE - but does not discriminate

risk INCREASES with age

strokes can - and do= occur at any age

87% of all strokes are what type? - ✔️✔️ischemic

what is a leading cause of serious long-term disability? - ✔️✔️strokes - reduces
mobility in more than half of stroke survivors > or = 65

what is the most common type of stroke - ✔️✔️ischemic stroke

what is an ischemic stroke caused by? - ✔️✔️an inadequate blood flow to the brain
either caused by thrombus or embolus

non-modifiable risk factors for stroke - ✔️✔️age
- risk doubles each decade after 55

gender
- more common in men
- more women die

ethnicity/race

heredity/family history

, modifiable risk factors for stroke - ✔️✔️-HTN
- heart disease
- serum cholesterol
- smoking
- excess alcohol consumption
- obesity
- sleep apnea
- metabolic syndrome
- lack of physical exercise
- poor diet
- drug abuse (cocaine)

if we recognize that they are affecting our overall health AND we are motivated to
change those unhealthy habits - then we can modify
- jobs as nurses to convince them

how much exercise should a person have a day - ✔️✔️30-40 min


transient episode of neurologic dysfunction caused by focal brain, spinal cord, or retinal
ischemia, but WITHOUT acute infarction of the brain

symptoms typically last < 1 hour

1/3 will progress to an ischemic stroke

warning signs for stroke - ✔️✔️FAST

F - facial drooping

A - arm weakness

S - slurred speech/speech difficulty

T - time = critical

Types of stroke - ✔️✔️Ischemic (Thrombotic & Embolic)
Hemorrhagic (Intracerebral & Subarachnoid)

thrombotic stroke - ✔️✔️clot forms due to plaque and narrowing of artery

embolic stroke - ✔️✔️can't pass through the artery in the brain

hemorrhagic - ✔️✔️vessel breaks and blood seeps out into the brain

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