A patient has just returned from having a computed tomography scan, which confirmed the presence of a large left cerebral stroke secondary to occlusion of the middle cerebral artery. At 100 kg, what would the correct dose of rtPA be?
a) 90 mg IV infused over 60 minutes
b) 90 mcg/kg infused over 6...
NRSG 4472: Chapter 23 (Disorders & Therapeutic
Management) questions with correct answers
A patient has just returned from having a computed tomography scan,
which confirmed the presence of a large left cerebral stroke secondary to
occlusion of the middle cerebral artery. At 100 kg, what would the
correct dose of rtPA be?
a) 90 mg IV infused over 60 minutes
b) 90 mcg/kg infused over 60 minutes
c) 9 mg given IV bolus followed by 81 mg infused over 60 minutes
d) 9 mcg/kg given IV bolus followed by 81 mcg/kg/min times 60
minutes Correct Answer-c
Which symptoms would indicate subarachnoid hemorrhage (SAH)?
a) Sudden severe headache, vomiting, and stiff neck
b) Sudden onset of hemiparesis, aphasia, and hemianopia
c) Bradycardia, systolic hypertension, and papilledema
d) Abrupt onset of bilateral lower extremity weakness Correct Answer-a
Which intervention is most important in promoting adequate cerebral
perfusion?
a) Maintaining PaCO2 less than 25 mm Hg
b) Keeping the head of the bed elevated
c) Starting enteral feedings early in the treatment process
d) Administering plasma expanders to maintain hypervolemia Correct
Answer-b
,A patient has just returned to the intensive care unit after undergoing a
craniotomy to repair an arteriovenous malformation. The patient is at
risk for developing increased intracranial pressure. What are the signs of
the Cushing triad?
a) Diminished deep tendon reflexes, papilledema, and unequal pupil
response
b) Bradycardia, systolic hypertension, and widening pulse pressure
c) Headache, projectile vomiting, and hyperthermia
d) Decreased level of consciousness, Cheyne-Stokes respirations, and
fixed and dilated pupils Correct Answer-b
A patient is experiencing severe vasospasm following a subarachnoid
hemorrhage. Management of this complication would include which
intervention?
a) Initiation of a nitroprusside drip
b) Administration of dextran
c) Nimodipine 60 mg every 4 hours
d) Mannitol 2 g/kg intravenous piggyback Correct Answer-c
Which patient should have the best prognosis after a coma?
a) Patient with a brain tumor who has been in a coma for 7 days
b) Patient with diabetic ketoacidosis who has been in a coma for 4 days
c) Patient with a drug overdose who has been in a coma for 2 days after
a motor vehicle accident
, d) Patient with an intracerebral bleed from a cocaine overdose who has
been in a coma for 8 days Correct Answer-c
A patient arrives complaining of nausea and vomiting for 1 week and
with a stiff neck and "the worst headache of my life." What is the
priority nursing diagnosis?
a) Pain
b) Ineffective breathing pattern
c) Inadequate cerebral tissue perfusion
d) High risk for infection Correct Answer-c
A patient was admitted complaining of an abrupt onset of weakness that
started in both legs and is now causing flaccidity of the arms after an
episode of the flu. Which intervention does the nurse anticipate when the
patient complains of difficulty breathing?
a) Prepare for immediate intubation.
b) Order a respiratory treatment.
c) Order a pulmonary function test.
d) Start oxygen via non-rebreather mask. Correct Answer-a
Which intervention(s) does the nurse anticipate on arrival for a patient
suspected of having an ischemic stroke? (Select all that apply.)
a) Computed tomography (CT) of the head (without contrast)
b) Magnetic resonance imaging (MRI)
c) 12-lead electrocardiography (ECG)
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