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This activity contains 10 questions.
An elderly client is being admitted to the ICU with the diagnosis of a stroke. The nurse realizes that based upon this client's age, the most likely causes of the condition would be:
Post myocardial infarction.
Decreased cardiac output.
A client is an emergency admission for treatment of stroke symptoms. Why is this an emergency?
To restore the health of the neurons in the central zone
To stabilize the neurons in the lateral zone
To restore the health of the neurons in the penumbra
To enlarge the core of affected neurons
A client is concerned that he will develop a stroke because his father did at an early age. Which of the following could the nurse instruct this client to modify in order to help reduce this client's risk factors for stroke?
Take an aspirin a day.
Increase physical activity.
Keep blood pressure as low as possible.
Increase consumption of green leafy vegetables.
A client, admitted with a hemorrhagic stroke is being intubated. Which of the following might have played a role in the development of this client's stroke?
History of atrial fibrillation
Hip replacement 6 months prior
Treatment for uncontrolled hypertension
Stopped smoking 5 years ago
Uses the exercise bike three times a week for 1 hour each time
Coumadin 5 mg every evening for 5 years
After completing the assessment of a client with a new onset of stroke, nursing diagnoses will be determined. Which of the following nursing diagnoses should have the highest priority for this client?
Altered thought processes
Altered cerebral perfusion
Impaired blood flow
A client in the ICU, after having an cerebral aneurysm clipped, is demonstrating symptoms of cerebral vasospasm. Which of the following would be indicated for this client?
Restrict oral fluids
Medicate for increasing blood pressure
Administer beta blockers
Stimulate the cough reflex
Reduce intravenous fluids
The nurse is creating a plan of care for a client with a stroke. In order to reduce the complication of a DVT, which of the following should be included in this plan of care?
Apply elastic support hose.
Monitor urine output.
Apply wrist restraints.
The nurse is concerned that a client who has sustained a stroke will develop contractures. Which of the following can be done to avoid this complication?
Use tennis shoes when in the hyperreflexic stage of recovery.
Use the affected limbs to pull the client into different positions.
Conduct passive ROM to lower extremities every 4 hours.
Turn the client on the affected side, resting on the shoulder.
The nurse is concerned a client recovering from a stroke is developing nutritional problems because:
Increased bowel sounds.
Client is able to hold utensils for eating.
Request for the same type of food every day.
Coughing when eating.
Within the question text below, there is one text entry field where you can enter your answer.
The nurse is instructing a group of nurses about the modifiable and nonmodifiable risk factors for the development of a stroke. List the nonmodifiable risk factors that this nurse should include:
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