Review Assessment: Quiz 08

  Question

1 0 out of 1 points  

A series of events leads to cerebrovascular accident or stroke, one of which triggers the incident and the others of which follow. Which of the following triggers the incident?

Selected

Answer:

 c.  Interruption in oxygen supply to the brain

Correct Answer:  b.  Sudden impairment of cerebral circulation

  Question

2 0 out of 1 points  

The physician is attending a stroke patient in the emergency department. The CT scan report of the patient indicates a hemorrhagic stroke. Which of the following holds true for this patient?

Selected

Answer:

 a.  There is bleeding in the tissues of the brain.

Correct Answer:  b.  Blood clots have obstructed the blood flow to the brain.

  Question

3 0 out of 1 points  

Mr. Davidov comes back from his morning walk feeling unwell. He complains of severe headache. A few minutes later, he falls down on the ground and is unable to speak. His wife calls the family doctor for help. However, before the doctor arrives, Mr. Davidov feels much better and asks his wife for a glass of water. Based on the symptoms, identify the cause of the stroke the patient had.

Selected

Answer:

 a.  Formation of blood clot within the vascular system

Correct Answer:  c.  Temporary interruption of blood flow

  Question

4 0 out of 1 points  

Mr. Cohen is admitted to the health care center due to stroke-in-evolution. Which of the following holds true for him?

Selected

Answer:

 c.  His reports show blood clot formation.

Correct Answer:  b.  A slight neurologic deficit triggered the symptoms.

  Question

5 1 out of 1 points  

Which of the following statements describes the difference between complete stroke and progressive stroke most appropriately?

Selected

Answer:

 a.  Complete stroke causes immediate maximum impairment; progressive

stroke begins with a slight deficit.

Correct Answer:

a.  Complete stroke causes immediate maximum impairment; progressive stroke begins with a slight deficit.

Feedback: A complete stroke causes a maximum neurologic impairment immediately, whereas a progressive stroke begins with a slight neurologic deficit.The other options do not accurately describe the difference between a complete stroke and a progressive stroke.For more information on this topic, consult:Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 158Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 157Pathophysiology Made Incredibly Visual, page(s): 92-94

  Question

6 0 out of 1 points  

Which of the following are causes of an ischemic stroke? Select all that apply.

Selected

Answers:

 a.  Obstruction of blood flow to the brain

 d.  Destruction of tissues

 e.  Edema in the affected vessels

 

Correct Answers:  a.  Obstruction of blood flow to the brain

 b.  Accumulation of amiotic fluid in the vessels

 e.  Edema in the affected vessels  

  Question

7 1 out of 1 points  

Tom is admitted to the emergency department after a stroke attack. The physician concludes that the stroke was due to debris obstruction in the blood vessels. Which of the following is the priority nursing action for this patient?

Selected

Answer:

 c.  Administer thrombolytics within 3 hours of onset of the stroke

Correct Answer:  c.  Administer thrombolytics within 3 hours of onset of the stroke

Feedback: Thrombolytics are used to treat embolic stroke and must be given within 3 hours of onset of stroke.Benzodiazepines are administered if seizures occur. Anticonvulsants prevent seizure, but this is not a priority nursing action in this case. Corticosteroids aid in reducing cerebral edema.For more information on this topic, consult:Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 12th Edition, page(s): 1196, 1900-1902Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 160Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 163

  Question

8 0 out of 1 points  

The nurse is taking care of Emma, a patient diagnosed with stroke. Her report lists that she is displaying symptoms of aphasia and hemiparesis. Which of the following symptoms validates the physician's observation? Select all that apply.

Selected

Answers:

 a.  Inability to speak and express herself

 c.  Numbness of the face

 

Correct Answers: a.  Inability to speak and express herself  c.  Numbness of the face

 d.  Inability to lift her arms voluntarily

  Question

9 1 out of 1 points  

The physician suspects stroke in a patient. He is confident that the cause is a blockage. However, the MRI and CT scans do not detect any blockage in the patient. Which assessment test will help him pinpoint the blockage?

Selected

Answer:

 b.  Carotid ultrasound

Correct Answer:  b.  Carotid ultrasound

Feedback: There are a number of techniques used to assess a patient with a suspected stroke. Carotid ultrasound pinpoints blockage and is therefore particularly helpful in this case.The other options are not used to detect blockage.For more information on this topic, consult:Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 12th Edition, page(s): 1899Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 159Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 160-162

  Question

10 0 out of 1 points  

Andrew, during a heated argument with a neighbor, suddenly gets blurred vision, goes into a state of confusion, and is unable to speak. Before he can call anyone, he falls on the ground. He is unable to gather himself and stand up. His wife rushes him to the health care center. Which three of the following tasks should the nurse perform as priorities in this case? Select all that apply.

Selected

Answers:

 a.  Ensure patient has a patent airway and have suction available

 b.  Check for GI problems

 c.  Check level of consciousness

 d.  Check vital signs, breath sounds, and oxygen saturation

 e.  Provide mouth care and eye care

 

Correct Answers:  a.  Ensure patient has a patent airway and have suction available

 c.  Check level of consciousness

 d.  Check vital signs, breath sounds, and oxygen saturation

  Question

11 0 out of 1 points  

Richard is a 56-year-old male with a history of hypotension and seizure attacks. While readying for work, he suddenly falls. He is unable to move on his own or speak properly. His family members immediately take him to the health care center. The physician advises the nurse to put him on ventilation. Which three of the following are priority tasks for the nurse to perform in this case? Select all that apply.

Selected

Answers:

 a.  Check level of consciousness

 d.  Ensure adequate nutrition

 e.  Monitor arterial blood gases (ABGs)

 

Correct Answers:  a.  Check level of consciousness

 b.  Administer benzodiazepines

 e.  Monitor arterial blood gases (ABGs)

  Question

12 1 out of 1 points  

Which of the following is the most prominent characteristic of aphasia?

Selected

Answer:

 b.  Speech impairment

Correct Answer:  b.  Speech impairment

Feedback:

Aphasia is the absence of or impairment of the ability to communicate through speech, writing, or signs because of brain dysfunction. It is considered complete or total when both sensory and motor areas are involved.The other symptoms are not prominent in aphasia.For more information on this topic, consult:Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 12th Edition, page(s): 1897Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 161Anatomy & Physiology Made Incredibly Easy, page(s): 80-85Anatomy & Physiology Made Incredibly Visual, page(s): 60-62