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Chapter 32- Test Bank

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Chapter 32- Test Bank

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  • April 19, 2024
  • 27
  • 2023/2024
  • Exam (elaborations)
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  • ATI Pharm Made Easusculoskeletal System
  • ATI Pharm Made Easusculoskeletal System

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Chapter 57: Stroke Lewis: Medical -Surgical Nursing, 10th Edition After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about a. cerebra l aneurysm clipping. b. heparin intravenous infusion. c. oral low -dose aspirin therapy. d. tissue plasminogen activator (tPA). - ANSWER -ANS: C The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit platelet aggr egation 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 strok e, not for TIA. 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. - ANSWER -ANS: C A sudden onset headache is typical of a subarachnoid hemo rrhage, 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 b. Right -sided neglect c. Hyperactive left -sided tendon reflexes d. Difficulty comprehending instructions - ANSWER -ANS: D Right -sided paralysis ind icates 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

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