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Medical-Surgical Nursing: Assessment and Management of Clinical Problems
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1. Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n) a. obese 45-yr-old Native American. b. 35-yr-old Asian American woman who smokes. c. 32-yr-old white woman taking oral contraceptives. d. 65-yr-old African American man with hypertension...

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  • August 1, 2023
  • 9
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • medical surgical nursing assessment and managemen

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Medical-Surgical Nursing: Assessment and Management
of Clinical Problems


1. Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n)



a. obese 45-yr-old Native American.

b. 35-yr-old Asian American woman who smokes.

c. 32-yr-old white woman taking oral contraceptives.

d. 65-yr-old African American man with hypertension. - d. 65-yr-old African American man with
hypertension.



2. The factor related to cerebral blood flow that most often determines the extent of cerebral damage
from a stroke is the



a. amount of cardiac output.

b. O2 content of the blood.

c. degree of collateral circulation.

d. level of CO2 in the blood. - c. degree of collateral circulation.



3. Information provided by the patient that would help differentiate a hemorrhagic stroke from a
thrombotic stroke includes



a. sensory disturbance.

b. a history of hypertension.

c. presence of motor weakness.

d. sudden onset of severe headache. - d. sudden onset of severe headache.

, 4. A patient is exhibiting word finding difficulty and weakness in his right arm. What area of the brain is
most likely involved?



a. brainstem.

b. vertebral artery.

c. left middle cerebral artery.

d. right middle cerebral artery. - c. left middle cerebral artery.



5. The nurse explains to the patient with a stroke who is scheduled for angiography that this test is used
to determine the



a. presence of increased ICP.

b. site and size of the infarction.

c. patency of the cerebral blood vessels.

d. presence of blood in the cerebrospinal fluid. - c. patency of the cerebral blood vessels.



6. A patient experiencing TIAs is scheduled for a carotid endarterectomy. The nurse explains that this
procedure is done to



a. decrease cerebral edema.

b. reduce the brain damage that occurs during a stroke in evolution.

c. prevent a stroke by removing atherosclerotic plaques blocking cerebral blood flow.

d. provide a circulatory bypass around thrombotic plaques obstructing cranial circulation. - c. prevent a
stroke by removing atherosclerotic plaques blocking cerebral blood flow.



7. For a patient who is suspected of having a stroke, one of the most important pieces of information
that the nurse can obtain is



a. time of the patient's last meal.

b. time at which stroke symptoms first appeared.

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