Stroke

Nonmodifiable risk factors include all except:

• Age

• Gender

• HTN

• Family history

• Ethnicity

A TIA is all of the following except:

• caused by focal brain, spinal cord, or retinal ischemia, but without acute infarction of brain

• might progress to a stroke

• may not have any further neurologic events

• always leads to hemiplegia

Which test is the first line test to assess for stroke symptoms?

• CT scan without contrast

• CT scan with contrast

• MRA

• Carotid artery ultrasound

True or false? A patient with an ischemic stroke getting tPA, you should maintain <180/105 for first 24hrs

• True

• False

A client has dysphagia and right-sided facial paralysis. Which side of the mouth would the nurse introduce food and medication to to prevent aphasia?

• Right

• Left

• Does not matter

Which aphasia is matched incorrectly?

• Wernicke's is usually wordy and makes no sense

• Broca's knows they have trouble so often become frustrated with inability to get out words.

• Wernicke's say statements like "walk dog" instead of "I need to walk the dog."

• Broca's aphasia has minimal speech activity with slow speech
  

Which statements does not describe characteristics of a stroke caused by an intracerebral hemorrhage?

• • Commonly occurs during or after sleep

• Carries a poor prognosis

• • Caused by rupture of a vessel

• Creates a mass that compresses the brain

A nurse is caring for a client who who has had a stroke involving the left hemisphere. Which of the following alterations in function should the nurse expect?

• Problems with language and math

• Inability to recognize family members

• Perception problems

• left hemiplegia

What determines if you should give tPA?

• When symptoms started

• TIA

• A patient is on Plavix

• BP > 220/110

What type of stroke do you give tPA for?

• hemorrhagic CVA

• ischemic CVA

• transient ischemic attack (TIA)

• intracerebral hemorrhage