NUR 240 Exam 4 Neuro Iggy Questions & Answers
- Which clinical finding could help the health care team differentiate a
transient ischemic attack from a stroke?
- Patient has a unilateral facial droop.
- Patient has slurred speech.
- Symptoms resolve in 30-60 minutes.
- Electrocardiogram is normal.
(Ans- C. Symptoms resolve in 30-60 minutes.
- The nurse is preparing to discharge a patient with transient ischemic
attacks. What topics does the nurse include in discharge teaching? Select all that apply.
- Reduction of high blood pressure
- Drug teaching for aspirin or other antiplatelet drug
- Lifestyle changes such as smoking cessation
- Self-care for managing chronic conditions, such as diabetes
- Increased risk for stroke and signs/ symptoms
- Benefits of taking vitamin supplements
- Reduction of high blood pressure
- / 3
(Ans-
- Drug teaching for aspirin or other antiplatelet drug
- Lifestyle changes such as smoking cessation
- Self-care for managing chronic conditions, such as diabetes
- Increased risk for stroke and signs/ symptoms
- The home health nurse is assessing a patient who had a stroke that
affected the right hemisphere. What would the nurse expect to observe?
- Patient is overly anxious and cautious when asked to do a new task.
- Patient is euphoric and smiling but disoriented to person, place, and
time.
- Patient is depressed and expresses ongoing worries about the future.
- Patient has a flat affect but is able to answer most questions
appropriately.(Ans- b. Patient is euphoric and smiling but disoriented to person, place, and time.
- The nurse is assessing a patient who was brought to the emergency
department for altered mental status. In the absence of family members or witnesses to give a history, what does the nurse do to identify two conditions that could mimic emergent neurologic conditions?
- Check skin turgor and perform a bladder scan.
- Check blood glucose and oxygen saturation.
- Observe for jugular vein distention and pitting edema.
- Observe for jaundice and abdominal distention. 2 / 3
(Ans- b. Check blood glucose and oxygen saturation.
- Following a left cerebral hemisphere stroke, the patient has expressive
(Broca's) aphasia. Which intervention is best to use when communicating with this patient?
- Repeat the names of objects on a routine basis.
- Face the patient and speak slowly and clearly.
- Obtain a whiteboard with an erasable marker.
- Use a picture board that displays objects and activities.
(Ans- d. Use a picture board that displays objects and activities.
- The nurse is caring for a patient with right cerebral hemisphere damage.
The patient demonstrates disorientation to time and place and neglect of the left visual field, and he has poor depth perception. Which task is best delegated to unlicensed assistive personnel?
- Move the patient's bed so that his affected side faces the door.
- Teach the patient to wash both sides of his face.
- Ensure a safe environment by removing clutter.
- Suggest to the family that they bring familiar family photos.
(Ans- C. Ensure a safe environment by removing clutter.
- A patient with a right cerebral hemisphere stroke may have safety issues
related to which factor?
- Poor impulse control
- Alexia and agraphia
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