Week 9 Stroke and Neuro NCLEX questions

Week 9 Stroke and Neuro NCLEX questions Leave the first rating Students also studied Terms in this set (7) Science MedicineNursing Save Chpt. 60 Stroke (question and notes...16 terms Ktumbin14Preview stroke nclex questions 27 terms grau002Preview NCLEX med surg stroke 36 terms Shauna_Wiberg Preview Stroke 10 terms sup A patient with right-sided paresthesias and hemiparesis is hospitalized and diagnosed with a thrombotic stroke.Over the next 72 hours the nurse plans care with the knowledge that the patient

• is ready for aggressive rehabilitation
• will show gradual improvement of the initial neurologic

deficits

• may show signs of deteriorating neurologic function as

cerebral edema increases

• should not be turned or exercised to prevent

extension of the thrombus and increased neurologic deficits C

While performing health screening at health fair, the nurse identifies which of the following individuals at greatest risk for experiencing a stroke?

• a 46 year old white female with hypertension and oral

contraceptive use for 10 years

• A 58 year old white male salesman who has a total

cholesterol level of 285 mg/dl

• A 42 year old African American female with diabetes

mellitus who has smoked for 30 years

• a 62 year old African American male with hypertension

who is 35 pounds overweight D A patient with a stroke has dysphagia. Before allowing the patient to eat, which of the following actions should the nurse take first?

• Check the patient's gag reflex
• request a soft diet with no liquids
• place the patient in high-Fowler's position
• test the patient's ability to swallow with a small amount

of water A Intracranial pressure monitoring is instituted for a patient with a head injury. The patient's arterial blood pressure is 92/50 mm Hg and the intracranial pressure is 18 mm Hg.Using these values to calculate the patient's cerebral perfusion pressure (CPP), the nurse determines that

• the CPP is adequate for normal cerebral blood flow
• to prevent cerebral hypoxemia, the patient's blood

pressure should be increased

• the CPP is so low that ischemia and neuronal death are

imminent

• lowering the patient's blood pressure will reduce the

intracranial pressure, increasing cerebral blood fow B

When assessing the patient with suspected meningitis with Brudzinski's sign, the nurse should

• flex the neck and watch for reflex flexion of the knee

and hip

• hyperextend the neck and watch for extreme arching

of the back and retraction of the head

• extend the leg from a position of 90 degree hip flexion

and evaluate the patient for pain and reflex contraction of the leg

• stroke the bottom of the foot with the handle of the

reflex hammer and watch for fanning of the toes A A patient is hospitalized following a spinal cord injury at the level of T4. A priority of nursing care for the patient is monitoring for

• return of reflexes
• bradycardia with hypotension
• effects of sensory deprivation
• fluctuations in body temperature

B A young adult is hospitalized after an accident that resulted in a complete transaction of the spinal cord at the level of C7. The nurse informs the patient that after rehabilitation the level of function that is most likely to occur is the ability to

• ambulate with long leg braces and crutches
• Breathing with respiratory support
• use a powered device to handle eating utensils
• drive a vehicle with hand controls

D