front 1 While receiving thrombolytic therapy, the patient becomes sleepier. What is the nurse's first priority? | back 1
a. Stop the infusion if it is still hanging, and notify the
MD |
front 2 A patient with an acute ischemic stroke is admitted from the emergency department to the ICU. The patient is difficult to arouse and not following commands. The nurse recognizes that a priority nursing action during the first 24 hours is: | back 2
a. Frequent neuro checks
|
front 3 Dysphagia increases the risk of mortality in the stroke patient due to: | back 3 a. Gastroesophageal reflux |
front 4 Which of the following has the most significant impact on acute stroke patient outcomes? | back 4 a. Risk factor education |
front 5 A 65-year-old presents to the emergency department (ED) with left side Facial Droop, dysarthria, and left sided weakness. According to the neighbor the patient was seen normal six hours prior to that arrival. The patient has a NIHSS of 8. The CT scan of the head is negative for bleeding and the labs are all WNL. The nurse should prepare the patient for: | back 5 a. Thrombolytic therapy administration |
front 6 In the early stages of ischemic stroke, the penumbral tissue is functionally silent yet metabolically active. | back 6
True |
front 7 Lacunar strokes are small vessel strokes, and they are characterized by <15 mm infarct. What percent of Ischemic strokes are Lacunar or Small vessel? | back 7 a. 10% |
front 8 The nurse is working with a patient who has just had an ischemic stroke. Patient is a smoker and does have hypertension. Patient has not taken his meds lately as he states he is feeling fine. Family is visiting and the nurse would like to begin education with the patient and family regarding risk factors for stroke. Which statement represents individualized education for this patient? | back 8 a. The nurse provided the patient with smoking cessation education
with the Georgia help line number. |
front 9 A watershed infarct typically refers to a: | back 9
a. Stroke between two adjacent cerebral arteries
|
front 10 Which of the following is the most significant risk factor for stroke? | back 10 a. Smoking |
front 11 Which assessment findings are most consistent with alterations in the posterior cerebral circulation? | back 11 a. Right Hemiplegia and aphasia |
front 12 A 30-year-old patient came into the Emergency department and has been worked up as a stroke when it was determined the patient had a vertebral artery dissection. When the patient asks you “How did this happen?” what is your best response to the patient? | back 12 a. Sleep apnea |
front 13 A man arrives to the emergency department with his wife who had a sudden onset of slurred speech, right facial droop, and right sided weakness. When asked when this began the husband states about 30 minutes ago. Patient BP is 230/125 mm hg, blood glucose is 380 mg/ld. Her medical history includes an acute stroke which happened 2 months ago and hypertension. What is the first treatment the nurse would expect to provide. | back 13 a. Obtain weight and prepare to administer thrombolytic |
front 14 A patient presents to the Emergency Department with the “worst headache of their life”, nuchal rigidity, and photophobia. The non-contrast head CT is negative. What next test should the nurse prepare the patient for? | back 14 a. MRI of the Brain |
front 15 Which of the following scale is a predictor of the 2-day risk of stroke after TIA? | back 15 a. CHADS2 |
front 16 Oral contraceptives may increase the risk of stroke in women who: | back 16 a. Take combined progesterone and estrogen |
front 17 Stroke risk is doubled by coronary artery disease and: | back 17
a. Heart failure
|
front 18 In acute rehab a patient has expressed concerns about when he can have sexual relations with his wife after discharge. What would be the most appropriate nursing action? | back 18 a. Explain that it is an inappropriate topic to discuss, and she will
send in a male caregiver to discuss with him |
front 19 Prenotification call by EMS was completed and the information was given that the patient had a new onset of dizziness which started 1 hour ago. Patient is also hypertensive, current blood pressure is 210/120, and Blood glucose is 90. The patient is in route and should arrive within 5 minutes. The ED charge nurse hangs up and prepares team for patient ED arrival. Upon arrival it will be important to complete which tasks to rule out a posterior stroke prior to EMS leaving facility? | back 19 a. Confirm time of Last known well by clock time not 1 hour
ago |
front 20 BE FAST is now being used for stroke education in our community to assist with signs and symptoms of stroke. The BE in the acronym stands for what? | back 20 a. Behavior, Energy |