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Chapter 57: Stroke Lewis: Medical- Surgical Nursing, 10th Edition Exam Practice Questions and Answers $11.49   Add to cart

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Chapter 57: Stroke Lewis: Medical- Surgical Nursing, 10th Edition Exam Practice Questions and Answers

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Chapter 57: Stroke Lewis: Medical- Surgical Nursing, 10th Edition Exam Practice Questions and Answers 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. ...

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  • October 23, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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Chapter 57: Stroke Lewis: Medical-
Surgical Nursing, 10th Edition Exam
Practice Questions and Answers

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). - Ans:✔✔-ANS: C


The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit

platelet aggregation are prescribed after a TIA to prevent a stroke. Continuous heparin infusion is not

routinely used after TIA or with acute ischemic stroke. The patient's symptoms are not consistent with a

cerebral aneurysm. tPA is used only for acute ischemic stroke, not for TIA.




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FIRST PUBLISH OCTOBER 2024




A 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. - Ans:✔✔-ANS: C


A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is contraindicated. Atrial

fibrillation, dysphasia, and transient ischemic attack are not contraindications to aspirin use.


A 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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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. Right-sided neglect


c. Hyperactive left-sided tendon reflexes


d. Difficulty comprehending instructions - Ans:✔✔-ANS: D


Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and

use of language. The left-side reflexes are likely to be intact. Impulsive behavior and neglect are more

likely with a right-side stroke.


During the change of shift report, a nurse is told that a patient has an occluded left posterior cerebral

artery. The nurse will anticipate that the patient may have




a. dysphasia.


b. confusion.


c. visual deficits.


d. poor judgment. - Ans:✔✔-ANS: C


Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with middle

cerebral artery involvement. Cognitive deficits and changes in judgment are more typical of anterior

cerebral artery occlusion.



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