Management Of Clients With Stroke

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Question 1
Free
Multiple Choice

The nurse encourages a stroke victim by telling them that following a cerebrovascular accident (CVA) caused by thrombosis, the client's condition may improve after several days as a result of

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A

decrease of edema in the area.

B

formation of collateral blood circulation.

C

formation of new nervous pathways.

D

reabsorption of the thrombus.

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Question 2
Free
Multiple Choice

When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage asks the nurse about the client's chances for recovery, the nurse should base a reply on knowledge that with this type of CVA

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A

improvement generally occurs over several days.

B

rapid improvement often occurs.

C

recovery is slow and less complete.

D

there is no way to know for sure.

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Question 3
Free
Multiple Choice

The nurse assesses agnosia in a client who had a CVA. An example of this disturbance would be an inability to

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A

read and comprehend writing.

B

recognize eating utensils.

C

see past the midline.

D

use the limbs purposefully.

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Question 4
Free
Multiple Choice

To promote safety, when a client complains of the effects of diplopia after a stroke, the nurse would

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A

approach the client on the unaffected side.

B

place a patch over one eye.

C

reassure the client that the problem is temporary.

D

teach eye muscle exercises.

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Question 5
Free
Multiple Choice

When a client has undergone a carotid endarterectomy and has been returned to the nursing unit with stable vital signs, the nurse should

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A

assess neurologic status every 4 hours.

B

keep the client in a flat, supine position with the head flexed.

C

maintain blood pressure within 20 mm Hg of the preoperative values.

D

provide neck range-of-motion exercises every 8 hours.

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Question 6
Multiple Choice

The critical care nurse explains to the family of a client who is to receive nimodipine following hemorrhagic stroke that the purpose of this drug is to treat

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A
dizziness.
B
hypertension.
C
spasticity.
D
vasospasm.
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Question 7
Multiple Choice

The nursing action that would be appropriate in caring for a client who has experienced stroke because of hemorrhage is to

Choose correct answer/s
A
maintain the head of the bed in a flat position.
B
monitor rectal temperature every 4 hours.
C
teach isometric exercises.
D
teach the client to avoid the Valsalva maneuver.
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Question 8
Multiple Choice

An emergency department nurse is admitting a client with ischemic stroke who is eligible for thrombolytic therapy. The nurse works quickly to provide care, knowing that for this therapy to be effective, it must be administered in a post-stroke time window of

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A
30 minutes.
B
3 hours.
C
6 hours.
D
12 hours.
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Question 9
Multiple Choice

A client has a history of experiencing focal neurologic deficits, such as slurred speech and facial weakness, that last for a few hours at a time. The nurse then assesses this client for other possible manifestations of

Choose correct answer/s
A
embolic stroke.
B
encephalopathy.
C
intracranial hemorrhage.
D
transient ischemic attacks (TIAs).
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Question 10
Multiple Choice

To best help the client who has the nursing diagnosis Ineffective Coping after a stroke, the nurse would

Choose correct answer/s
A
break a long-term goal into smaller pieces.
B
listen to the client carefully and try to understand.
C
place familiar items, such as photos, near the bed.
D
redirect the client when inappropriate behavior occurs.
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Question 11
Multiple Choice

A client who has had a stroke appears to understand words that are spoken but cannot verbally respond. The nurse clarifies that this type of aphasia is

Choose correct answer/s
A
Broca's.
B
global.
C
receptive.
D
Wernicke's.
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Question 12
Multiple Choice

The assessment the nurse documents that supports the finding of apraxia would be the client's inability to

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A
get dressed independently.
B
recognize a pencil.
C
see far objects.
D
understand the spoken word.
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Question 13
Multiple Choice

Safety precautions the nurse instructs the client with homonymous hemianopsia to use include

Choose correct answer/s
A
getting evaluated for prescription lenses.
B
turning the head to scan the visual field.
C
using artificial tears to keep the eyes moist.
D
wearing an eye patch on alternating eyes.
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Question 14
Multiple Choice

A client who experienced a stroke that left residual left hemiplegia will not wash the left side or use her good limbs on the right to move or adjust the limbs on the left. The most appropriate diagnosis for this client is

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A
Altered Physical Mobility.
B
Ineffective Coping.
C
Self-Care Deficit.
D
Unilateral Neglect.
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Question 15
Multiple Choice

A client who had a thrombotic stroke finished receiving intravenous rt-PA therapy at 10:00 AM on Sunday. Sunday afternoon the physician writes an order to start Coumadin and Plavix that evening. The most appropriate action by the nurse would be to

Choose correct answer/s
A
call the physician and clarify when the medications should be given.
B
consult with the pharmacist about giving both medications together.
C
give the Coumadin at 5:00 PM because that is the standard administration time.
D
provide appropriate education and administer the medications as ordered.
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Question 16
Multiple Choice

A client had a stroke. A nurse has arranged a consultation with an occupational therapist in order to enhance the client's ability to

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A
acquire job skills.
B
feed himself.
C
swallow.
D
use a walker.
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Question 17
Multiple Choice

A client who has left hemiparesis as a result of stroke is getting out of bed to the chair for the first time. The nurse should position the chair

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A
at a right angle to the client's left side.
B
at a right angle to the client's right side.
C
facing away from the side of the bed.
D
facing the side of the bed but within 1 foot.
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Question 18
Multiple Choice

The nurse is caring for a client who had a stroke several years ago. The client has indicators of being malnourished. The nurse would assess the client for which of the following?

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A
Ability to throw the head back to propel the food
B
Embarrassment and frustration over trouble eating
C
Inability of the bowel to absorb nutrients
D
Positioning the head with a sideways' tilt
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Question 19
Multiple Choice

A client with stroke has a nursing diagnosis of Impaired Verbal Communication and has specific difficulty in verbal expression. The most helpful strategy by the nurse would be to

Choose correct answer/s
A
give the client practice in repeating words after the nurse.
B
point to objects and state their names.
C
repeat directions until they are understood.
D
try to do all the speaking for the client.
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Question 20
Multiple Choice

When the client complains about having to perform quadricep-setting exercises, the nurse reminds him that the exercises will enhance ambulation by

Choose correct answer/s
A
combating footdrop.
B
diminishing the effects of proprioception.
C
improving balance.
D
strengthening the knee.
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