Stroke (2)
36 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the first priority in assessing a patient with a stroke?

  • Performing a physical assessment
  • Ensuring the patient is transported to a stroke center (correct)
  • Taking a complete medical history
  • Administering medications to manage symptoms

    • What is the first priority in the assessment of a patient experiencing a stroke?

  • Ensure the patient is transported to a stroke center (correct)
  • Conduct a psychosocial assessment
  • Obtain a detailed medical history
  • Perform a physical assessment

    • What is the first priority in assessing a patient experiencing a stroke?

  • Conducting a psychosocial assessment
  • Transporting the patient to a stroke center (correct)
  • Performing a physical assessment
  • Taking a detailed medical history

    • What is the purpose of a neurologic examination in a patient with a stroke?

    <p>To evaluate the patient's motor and sensory function</p> Signup and view all the answers

    Which laboratory assessment can help identify a stroke?

    <p>Elevated H&amp;H, WBC</p> Signup and view all the answers

    What laboratory assessment can help diagnose a stroke?

    <p>Elevated hemoglobin A1C levels</p> Signup and view all the answers

    Which laboratory assessment is important in assessing a patient with a stroke?

    <p>Hemoglobin A1C</p> Signup and view all the answers

    Which assessment tool is used to evaluate the severity of a stroke?

    <p>NIHSS</p> Signup and view all the answers

    Which imaging assessment is typically used to diagnose a stroke?

    <p>CT or CTA</p> Signup and view all the answers

    What is the purpose of a CT or CTA in a patient with a stroke?

    <p>To assess the patient's brain perfusion and rule out hemorrhage</p> Signup and view all the answers

    What is the purpose of the NIHSS in the neurologic examination of a patient experiencing a stroke?

    <p>To assess the patient's motor function</p> Signup and view all the answers

    What is the possible cause of aphasia and/or dysarthria in a patient experiencing a stroke?

    <p>Decreased circulation in the brain</p> Signup and view all the answers

    What is the purpose of the GCS in the neurologic examination of a patient experiencing a stroke?

    <p>To assess the patient's level of consciousness</p> Signup and view all the answers

    What is the primary expected outcome for a patient experiencing a stroke?

    <p>Adequate cerebral perfusion to avoid long-term disability</p> Signup and view all the answers

    Which nursing intervention is important in promoting mobility and ADL ability in a patient with a stroke?

    <p>Providing assistive devices as needed</p> Signup and view all the answers

    What is the expected outcome for a patient with a stroke in terms of communication?

    <p>The patient communicates effectively or develops strategies for effective communication as needed</p> Signup and view all the answers

    What is the possible cause of aphasia and/or dysarthria in a patient experiencing a stroke?

    <p>Decreased circulation in the brain</p> Signup and view all the answers

    What is the primary nursing intervention for improving cerebral perfusion in a patient experiencing a stroke?

    <p>Administering thrombolytic therapy</p> Signup and view all the answers

    What is the purpose of monitoring blood glucose in a patient experiencing a stroke?

    <p>To maintain blood glucose within a safe, prescribed range</p> Signup and view all the answers

    What is the priority nursing intervention in the planning and implementation phase for a patient experiencing a stroke?

    <p>Improving cerebral perfusion</p> Signup and view all the answers

    Which nursing intervention is important in assessing safe feeding in a patient with a stroke?

    <p>Monitoring the patient's ability to swallow</p> Signup and view all the answers

    Which imaging assessment is preferred for identifying a stroke?

    <p>CT</p> Signup and view all the answers

    What is the purpose of monitoring blood glucose in a patient with a stroke?

    <p>To maintain cerebral perfusion</p> Signup and view all the answers

    Which expected outcome is not included in the evaluation phase of nursing care for a patient experiencing a stroke?

    <p>Learning to play the piano</p> Signup and view all the answers

    What is the primary nursing intervention for managing changes in sensory perception in a patient experiencing a stroke?

    <p>Providing sensory stimulation</p> Signup and view all the answers

    What is the purpose of assessing safe feeding in a patient experiencing a stroke?

    <p>To decrease aspiration risk</p> Signup and view all the answers

    Which assessment tool is used to evaluate the patient's level of consciousness in a patient with a stroke?

    <p>GCS</p> Signup and view all the answers

    What is the purpose of seizure precautions in a patient with a stroke?

    <p>To prevent seizures</p> Signup and view all the answers

    What is the purpose of seizure precautions in the nursing care of a patient experiencing a stroke?

    <p>To prevent seizures</p> Signup and view all the answers

    What is the primary nursing intervention for promoting mobility and ADL ability in a patient experiencing a stroke?

    <p>Providing physical therapy</p> Signup and view all the answers

    What is the purpose of monitoring blood glucose in the nursing care of a patient experiencing a stroke?

    <p>To prevent hyperglycemia</p> Signup and view all the answers

    Which nursing intervention is important in managing changes in sensory perception in a patient with a stroke?

    <p>Encouraging the patient to use assistive devices as needed</p> Signup and view all the answers

    What is the purpose of seizure precautions in a patient experiencing a stroke?

    <p>To prevent seizures</p> Signup and view all the answers

    What is the purpose of monitoring for increased intracranial pressure in a patient with a stroke?

    <p>To maintain cerebral perfusion</p> Signup and view all the answers

    What is the purpose of assessing sensory perception in the nursing care of a patient experiencing a stroke?

    <p>To manage changes in sensory perception</p> Signup and view all the answers

    What is the primary nursing intervention for assessing safe feeding in a patient experiencing a stroke?

    <p>Decreasing aspiration risk</p> Signup and view all the answers

    Study Notes

    Stroke (CVA) Brain Attack NUR 211: Health Care Concepts Unit Four - Module 4C Part 2

    Learning Outcomes

    1. Collaborate with the interprofessional team to coordinate high-quality care for patients experiencing a stroke (brain attack)
    2. Implement nursing interventions to help the patient and family cope with the psychosocial impact caused by a stroke (brain attack)
    3. Apply knowledge of anatomy, physiology, and pathophysiology to assess patients experiencing a stroke (brain attack)
    4. Use clinical judgment to plan care for patients experiencing a stroke
    5. Teach the patient and caregiver(s) about common drugs for a patient experiencing a stroke (brain attack)

    Learning Resources ● Ignatavicius, D. (2021). pp 898-912 ● Ignatavicius, D. (20221). Study guide, Chapter 41 (questions 1-17) ● Silvestri, L (2023). pp 864-865 ● ATI RN Adult Medical Surgical Nursing 11.0 - Chapter 15 ● ATI RN Pharmacology for Nursing 8.0 - Chapter 25

    Stroke: Assessment: Recognize Cues (1 of 2) ● History ○ First priority is to ensure the patient is transported to a stroke center ○ Other history can be taken after this ● Physical Assessment/Signs & Symptoms ○ Neurologic Examination ■ NIHSS ■ GCS ● Psychosocial Assessment

    Stroke: Assessment: Recognize Cues (2 of 2) ● Laboratory assessment ○ Elevated H&H, WBC ○ Blood Glucose ○ Hemoglobin A1C ○ PT, INR, aPTT ● Imaging Assessment ○ CT or CTA ○ MRI

    Stroke: Analysis: Analyze Cues & Prioritize Hypotheses ● Inadequate perfusion to the brain due to interruption of arterial blood flow and a possible increase in ICP ● Decreased mobility and possible need for assistance to perform ADLs due to neuromuscular or impaired cognition ● Aphasia and/or dysarthria due to decreased circulation in the brain (aphasia) or facial muscle weakness (dysarthria) ● Sensory perception deficits due to altered neurologic reception and transmission

    Stroke: Planning and Implementation: Generate Solutions & Take Action ˜Improving cerebral perfusion ˜Monitoring for increased intracranial pressure ˜Promoting mobility and ADL ability ˜Managing changes in sensory perception

    Stroke: Evaluation: Evaluate Outcomes ● The expected outcomes are that the patient: ○ Has adequate cerebral perfusion to avoid long-term disability ○ Maintains blood pressure and blood glucose within a safe, prescribed range ○ Performs self-care and mobility activities independently, with or without assistive devices ○ Learns to adapt to sensory perception changes, if present ○ Communicates effectively or develops strategies for effective communication as needed ○ Has adequate nutrition and avoids aspiration

    Nursing Care ● Vital signs ● LOC ● Head of bed 30 degrees ● Cardiac monitor/assessment ● Monitor blood glucose ● Seizure precautions ● Speech and communication ● Assess safe feeding ● Decrease aspiration risk

    Safe Feeding ● Decrease aspiration risk ● Assess

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on stroke (CVA) and nursing interventions for patients experiencing a brain attack in this quiz! Learn about the importance of collaborating with the interprofessional team, assessing cues and prioritizing hypotheses, implementing solutions, and evaluating outcomes. This quiz covers topics such as anatomy, physiology, and pathophysiology of stroke, psychosocial impact, clinical judgment, and common drugs for stroke patients. Sharpen your skills on vital signs, cardiac monitoring, blood glucose monitoring, and speech and communication assessments

    More Like This

    Stroke Medical Management Lecture 4.2
    22 questions

    Stroke Medical Management Lecture 4.2

    FastObsidian6744 avatar
    FastObsidian6744
    2-Stroke Engines Diagram Quiz
    19 questions

    2-Stroke Engines Diagram Quiz

    StatelyComposite avatar
    StatelyComposite
    Physiotherapy Management of Stroke Lecture 2.1
    10 questions

    Physiotherapy Management of Stroke Lecture 2.1

    JubilantDanburite avatar
    JubilantDanburite
    Motorcycle Engine Principles
    8 questions

    Motorcycle Engine Principles

    SpotlessChalcedony5956 avatar
    SpotlessChalcedony5956
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser