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Chapter 57: Stroke Lewis: Medical-Surgical Nursing Exam Questions And Correct Answers $11.49   Add to cart

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Chapter 57: Stroke Lewis: Medical-Surgical Nursing Exam Questions And Correct Answers

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  • Medical Surgical Nursing

Chapter 57: Stroke Lewis: Medical-Surgical Nursing Exam Questions And Correct Answers After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about a. cerebral aneurysm clipping. b. heparin intraven...

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  • October 18, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Chapter 57: Stroke Lewis: Medical-Surgical
Nursing Exam Questions And Correct
Answers


After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual

effects, the nurse anticipates teaching the patient about

a. cerebral 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 aggregation 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 stroke, 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?

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
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 hemorrhage, 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

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Right-sided paralysis indicates 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




a. dysphasia.

b. confusion.

c. visual deficits.


d. poor judgment. - answer✔ANS: C


Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with

middle cerebral artery involvement. Cognitive deficits and changes in judgment are more typical

of anterior cerebral artery occlusion.

When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral

atherosclerosis

a. to monitor and record the blood pressure daily.

b. to call the health care provider if stools are tarry.

c. that clopidogrel will dissolve clots in the cerebral arteries.

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