NUR 350 Chap 57 Review Questions and Correct Answers
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Course
NUR 350
Institution
NUR 350
What would be the appropriate nursing intervention for optimizing musculoskeletal function of a patient with hemorrhagic stroke?
Discouraging the use of lap boards
Discouraging pulling the patient's arm
Discouraging the use of trochanter roll
Discouraging the use of posterior leg splints Discou...
NUR 350 Chap 57 Review Questions and
Correct Answers
What would be the appropriate nursing intervention for optimizing musculoskeletal
function of a patient with hemorrhagic stroke?
Discouraging the use of lap boards
Discouraging pulling the patient's arm
Discouraging the use of trochanter roll
Discouraging the use of posterior leg splints ✅Discouraging pulling the patient's arm
Shoulder displacement can occur if a patient's arm is pulled. Hemorrhagic stroke may
lead to joint contractures and muscular atrophy. Therefore it is important to optimize
musculoskeletal function. Lap boards prevent shoulder displacement, and the patient
should be instructed to use them. Trochanter rolls keep the patient's hip in a neutral
position and prevent external rotation. Posterior leg splints are advised to the patient to
prevent footdrop.
p. 1359
A patient who sustained a stroke is to have a diagnostic test to determine cerebral blood
flow. For what diagnostic test does the nurse prepare the patient?
Cerebral angiography is performed to assess cerebral blood flow. Cerebral angiography
helps find blood vessel blockages present in the head and neck. Echocardiography is
performed for cardiac assessment. Magnetic resonance angiography and computed
tomography angiography are performed for the diagnosis of a stroke and to assess the
extent of involvement.
p. 1352
,While doing a neurologic assessment of a patient who sustained a thrombotic stroke,
the nurse records the score of a patient as 40 on a National Institutes of Health Stroke
Scale (NIHSS). What does this score indicate?
Minor stroke
Severe stroke
Moderate stroke
No stroke symptoms ✅Severe stroke
According to the NIHSS scale, a score of 40 indicates severe stroke. Minor and
moderate strokes have scores below 40. A score of 0 indicates the patient has no
stroke symptoms.
p. 1358
The nurse is preparing a community stroke awareness program. The nurse knows that
which ethnic group has the highest incidence of stroke?
Asians
Mexicans
Caucasians
African Americans ✅African Americans
African Americans have twice the incidence of stroke related to hypertension, obesity,
and diabetes. Caucasians, Mexicans, and Asians have a lower risk of stroke than do
African Americans.
p. 1347
The nurse is teaching a patient about the onset of embolic stroke. What information
does the nurse include in the teaching plan?
Embolic stroke rarely recurs.
Embolic stroke occurs rapidly.
, Embolic stroke renders the patient unconscious.
Embolic stroke is marked by a surge of blood supply to the brain tissues. ✅Embolic
stroke occurs rapidly.
Embolic stroke often occurs rapidly, whereby accommodation toward developing
collateral circulation becomes difficult. It is not uncommon for embolic stroke to recur,
unless the underlying causes are treated aggressively. During an embolic stroke the
patient may experience a headache but does not lose consciousness. The prognosis of
embolic stroke is related to the deprivation of blood supply to the brain tissues.
p. 1348
A patient has suffered a stroke. Which neurologic factor will the nurse assess and
record?
Speech
Mobility
Respiratory function
Level of consciousness ✅Level of consciousness
The nurse will assess the patient's level of consciousness and record it as a neurologic
finding. Though related to neurologic functioning, speech, mobility, and respiratory
function are motor function assessments.
p. 1350
The nurse finds that the patient is unable to recognize familiar objects after a stroke.
What term does the nurse chart in the patient's medical record?
Alexia
Agnosia
Aphasia
Agraphia ✅Agnosia
Agnosia is the inability to recognize familiar objects. Aphasia is difficulty in speaking or
understanding speech. Alexia is difficulty reading. Agraphia is difficulty writing.
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