Stroke

Which type of stroke shows interrupted vessel integrity and bleeding that occurs into the brain tissue or into the subarachnoid space?

• Embolic Stroke

• Ischemic Stroke

• Thrombotic Stroke

• Hemorrhagic Stroke

The nurse is teaching a group of older adults about transient ischemic attack (TIA). Which statement made by a participant indicates a need for further teaching regarding TIAs?

• "There is a loss of central vision"

• "Symptoms last less than 24 hours"

• "A TIA is a warning sign for ischemic stroke."

• "A TIA of any kind is a medical emergency."

A patient in the emergency department (ED) has slurred speech, confusion, and visual problems, and has been having intermittent episodes of worsening symptoms. The symptoms have a gradual onset. The patient also has a history of hypertension and atherosclerosis. What does the nurse suspect that the patient is probably experiencing?

• Embolic Stroke

• Thrombotic Stroke

• Hemorrhagic Stroke

• Transient Ischemic Stroke

A 70-year-old woman brought to the emergency department is diagnosed with acute ischemic stroke with a NIH Stroke Scale score of 20. A family member reports last seeing the patient as normal (LSN) 3.5 hours before evaluation. The patient has an INR of 1.4. The nurse anticipates that the patient will not be eligible for fibrinolytic therapy for which reason?

• INR 1.4

• Female Gender

• Age older than 65 years

• High NIH Stroke Scale Score

A patient has been admitted to the hospital with symptoms of an embolic stroke. What etiologic factor in the patient's history places the patient at particular risk for this type of stroke?

• Atrial Fibrillation

• Aortic Aneurysm

• Diabetes Mellitus

• Irritable Bowel Disease

Which does the nurse teach the patient is a modifiable risk factor for stroke?

• Age

• Gender

• Obesity

• Family history of hypertension

The nurse receives a patient in the emergency department (ED) who experienced a stroke. The patient is alert and requests something to eat from the nurse. Which is the best action the nurse can take?

• Provide thickened fluids to the patient

• Assess the swallowing ability of the patient

• Obtain a prescription to give intravenous fluids

• Assess the level of consciousness in the patient

The patient is admitted with a diagnosis of stroke in the right cerebral hemisphere. Upon assessment, which primary deficit does the nurse expect to find?

• Worsening aphasia

• Agraphia

• Impaired proprioception

• Alexia

Alteplase should be given within how many hours from the onset of symptoms of stroke?

• 6

• 12

• 4.5

• 1.5

Abuse of which substance is most likely to result in a hemorrhagic stroke?

• Heroin

• Nicotine

• Cocaine

• Marijuana