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Test bank for Chapter 60: Nursing Management: Stroke Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition questions and verified answers$12.99
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Test bank for Chapter 60: Nursing
Management: Stroke Lewis et al.:
Medical-Surgical Nursing in Canada, 3rd
Edition questions and verified answers
1. 1. The nurse obtains all of the following information about a 65-year-old patient in the
clinic. When developing a plan to decrease stroke risk, which risk factor is most
important for the nurse to address?
2. a. The patient smokes a pack of cigarettes daily.
3. b. The patient's blood pressure is chronically between 150/80 and 170/90 mm Hg.
4. c. The patient works at a desk and relaxes by watching television.
5. d. The patient is 11.3 kg above the ideal weight. - ANS-ANS: B
6. Hypertension is the most important modifiable risk factor.
7.
8. PTS: 1 DIF: Cognitive Level: Application REF: page 1674
9. OBJ: 1 TOP: Nursing Process: Planning MSC: CRNE: HW-2
10. 10. A 68-year-old man has had several TIAs with temporary hemiparesis and dysarthria
that have lasted up to an hour. The nurse encourages the patient to seek immediate
medical assistance for any symptoms that last longer than an hour, explaining that
permanent disability from a stroke may be reduced if therapy is initiated within 3 hours
with the use of which of the following treatments?
11. a. IV heparin
12. b. Transluminal angioplasty
13. c. A surgical endarterectomy
14. d. tPA - ANS-ANS: D
15. The patient's history and clinical manifestations suggest an acute ischemic stroke, and a
patient who is seen within 3 hours of stroke onset is likely to receive tPA (after screening
with a CT scan).
16.
17. PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1683
18. OBJ: 7 TOP: Nursing Process: Implementation MSC: CRNE: CH-61
19. 11. The nurse identifies the nursing diagnosis of impaired verbal communication for a
patient with expressive aphasia. What is an appropriate nursing intervention to help the
patient communicate?
20. a. Ask simple questions that can be answered with "yes" or "no."
21. b. Develop a list of simple words that she can read and practise reciting.
, 22. c. Have her practise facial and tongue exercises to improve motor control necessary for
speech.
23. d. Prevent embarrassing her by changing the subject if she does not respond in a timely
manner. - ANS-ANS: A
24. Communication will be facilitated and less frustrating to the patient when questions that
require a "yes" or "no" response are used.
25.
26. PTS: 1 DIF: Cognitive Level: Application REF: page 1692, Table 60-9
27. OBJ: 7 TOP: Nursing Process: Implementation MSC: CRNE: NCP-2
28. 12. Twenty-four hours after admission, a patient with a stroke has progressive
development of neurological deficits with increasing weakness and decreased level of
consciousness. What is the primary goal of nursing management of the patient at this
time?
29. a. Protecting the skin from breakdown
30. b. Monitoring for changes in neurological status
31. c. Maintaining the patient's respiratory function
32. d. Preventing joint contractures and muscle atrophy - ANS-ANS: C
33. Protection of the airway is the priority of nursing care for a patient having an acute
stroke.
34.
35. PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1687
36. OBJ: 7 TOP: Nursing Process: Implementation MSC: CRNE: CH-61
37. 13. Which classification of stroke is the most common one, representing approximately
80% of all strokes?
38. a. Intercerebral stroke
39. b. Ischemic stroke
40. c. Hemorrhagic stroke
41. d. Subarachnoid stroke - ANS-ANS: B
42. Ischemic strokes account for approximately 80% of all strokes.
43.
44. PTS: 1 DIF: Cognitive Level: Knowledge REF: page 1676
45. OBJ: 1 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
46. 14. A patient with homonymous hemianopsia resulting from a stroke has a nursing
diagnosis of disturbed sensory perception related to hemianopsia. What is an
appropriate nursing intervention that will help the patient learn to compensate for the
deficit during the rehabilitation period?
47. a. Apply an eye patch to the affected eye.
48. b. Approach the patient on the unaffected side.
49. c. Place objects necessary for activities of daily living on the affected side.
50. d. Teach the patient to exercise the eye muscles with full range of motion at least twice a
day. - ANS-ANS: C
51. During the rehabilitation period, placing objects on the affected side will encourage the
patient to use the scanning technique to visualize the affected side.
52.
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