NIH Stroke Scale Test 1 ( Latest – )
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- NIH stroke scale was developed to?
Answer: help clinicians objectively rate the sever ity of ischemic strokes
- Increasing NIH score indicates what?
Answer: more severe stroke and correlates with the size of the infarction
- 1-pt increase in score decreases the likelihood of an excellent outcome by?
Answer: 24% at 7 days
4. T/F: total NIHSS <4 generally have favorable clinical outcomes and a high
likelihood of functional independence regardless of treatment
Answer: True
- Rules for scoring
Answer:
-score what you see not what you think
-score the first response, not the best response (exception: item 9 best language)
-don't coach the pt
- LOC is divided into what three sections?
Answer:
-Responsiveness - are they re sponsive when you walk into the room 1 / 2
-LOC questions - ask the pt what the current month is and what their current age is
-LOC commands - ask the pt to blink their eyes and make the fist in both hands
7. LOC questions scoring:
Answer:
- - gets both questions right
1- gets only one question right, or there is a language barrier, or unable to speak due to trauma or intubated
2- gets both questions wrong, or they are inaudible
8. LOC responsiveness scoring:
Answer:
0-alert and completely responsive 1- not alert but arousal to minor stimulation 2- not alert, required repeated stimulation to arouse, or requires strong or painful stimuli
3- completely unresponsive or only unintentional reflexes
9. LOC commands scoring:
Answer:
- - perform both tasks correctly
- / 2
1- performs only one task correctly 2- performs neither task correctly