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NURS 372 Final Exam Questions and Answers Latest Update Rated A+

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NURS 372

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NURS 372

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nurs 372

Institution NURS 372
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NURS 372 Final Exam Questions and Answers Latest Update Rated A+

most effective way to decrease the burden of stroke - Answers prevention

risk factors for stroke - Answers -a fib

-HTN

-smoking

-AA

-ELDERLY

-males

common causes of TIA and ischemic stroke - Answers -caused by focal brain, SC or retinal ischemia, but
w/o acute infarction of the brain

.
-May be due to microemboli

types ofstroke- brain attack - Answers -ischemic (thrombotic or embolic)

-hemorrhagic (intracerebral or subarachnoid)

ISCHEMIC STROKE

thrombotic stroke - Answers -thrombosis occurs in relation to injury to a blood vessel wall and formation
of a blood clot

-result of thrombosis or narrowing of the blood vessel

ISCHEMIC STROKE: thrombotic stroke- lacunar stroke - Answers -ischemic areas in deep vessels

-typically asymptomatic, seen on CT

most common cause of stroke - Answers ischemic thrombotic stroke (80%)

ISCHEMIC STROKE

embolic stroke - Answers -rapid occurrence of severe sx

-onset sudden, may/may not be related to activity

-patient usually remains conscious, may have a HA

HEMORRHAGIC STROKE

intracerebral hemorrhage - Answers -bleeding within brain caused by rupture of a vessel

,-hemorrhage commonly occurs during periods of activity (bearing down, lifting)

most important cause of intracerebral hemorrhage - Answers hypertension

pre- hospital assessment - Answers FAST (face, arm, speech, time)

what is a transient ischemic attack (TIA) - Answers temporary focal loss of function due to ischemia
secondary to microemboli

-consider other causes (hypoglycemia)

-brain attack: 911 ! treat within 60 mins

manifestations of TIA - Answers -onset considered time from when last seen symptom free

-sx last <1 hr

-without visual evidence of infarction with CT or MRI

STROKE RISK STRATIFICATION

ABCD-2 score - Answers -age >60

-BP >140/90 mmhg

-clinical features: unilateral weakness or speech disturbance without weakness

-duration: >60 mins, or 10-59 min

Diabetes

>6- 8% risk of stroke in 2 days

<4 1% risk of stroke within 2 days

nursing assessment of stable patient: primary assessment - Answers -history of current illness (sx, onset,
duration, nature, changes in s/s)

-past medical illnesses particularly previous stroke, HTN, a fib

-family hx of stroke

nursing assessment of stable patient: secondary assessment - Answers -LOC (glasgow coma scale)

-cognition (mental status exam)

-motor function

, -CN function (5,7 , 12)

-sensation (cotton ball)

-proprioception

-cerebellar function (pronator drift, walk straight)

-DTRs

-stroke scale (NIHSS)

national institutes of heath stroke scale - Answers -LOC, loc questions/commands

-best gaze (horizontal movements)

-visual fields (none - hemianopsia)

-facial palsy (symmetric-complete)

-motor arm and leg (drift, rt and left - no movement)

-limb ataxia (loss of control of limbs)

-sensory

-best language (normal-global aphasia)

-dysarthria (normal- slurred speech)

-extinction (visual, tactile, auditory, spatial, or personal inattention)

diagnostic studies: CT WILL.. - Answers -indicate size/location of lesion

-differentiate b/w ischemic and hemorrhagic (need CT before start interventions)

time frames for evaluation

10". 15". 25", 45". 60" - Answers 10 - to ED, evaluated

15- in ED, stroke specialist alerted

25- CT

45 of cT- results interpreted

60"- max time for complete evaluation

DIAGNOSTICS - Answers -CT INITIALLY

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