Cerebrovascular Disorders Quiz

A family member comes to the clinic to talk to the nurse about a client who has had a stroke on the right side of the brain. The family member is concerned because of the deficits the client is exhibiting. The nurse knows that when a client experiences a stroke on the right side of the brain, common deficits include what? Select all that apply.

• Left-sided hemiplegia

• Tendency to distractibility

• Impairment of long-term memory

• Hyperaware of deficits

• Neglect of objects and people on the left side

A family member brings a 76-year-old client to the clinic, stating that the client has had two transient ischemic attacks (TIAs) in the past week. The health care provider orders carotid angiography, and the report reveals that the carotid artery has been narrowed by atherosclerotic plaques. What treatment option(s) does the nurse expect the health care provider to offer this client to increase blood flow to the brain? Select all that apply.

• Balloon angioplasty of the carotid artery followed by stent placement

• Removal of the carotid artery

• Percutaneous transluminal coronary artery angioplasty

• Carotid endarterectomy

• Administration of tissue plasminogen activator

A female client who complains of recurring headaches, accompanied by increased irritability, photophobia, and fatigue is asked to track the headache symptoms and occurrence on a calendar log. Which is the best nursing rationale for this action?

A client who has experienced an initial transient ischemic attack (TIA) states: "I'm glad it wasn't anything serious." Which is the best nursing response to this statement?

A client with a history of atrial fibrillation has experienced a TIA. What does the nurse expect will be the priority preventative medical treatment(s) to reduce the risk of a cerebrovascular accident (CVA)? Select all that apply.

• Cholesterol-lowering drugs

• Anticoagulant therapy

• Monthly prothrombin levels

• Carotid endarterectomy

• Percutaneous transluminal angioplasty

The nurse is completing an assessment on a client with a history of migraines. The nurse would identify factor(s) as a possible trigger for a migraine headache? Select all that apply.

• Change in environmental temperature

• Nausea

• Exposure to flashing light

• Menstruation

• Red wine

A client has tension headaches. The nurse recommends massage as a treatment for tension headaches. How does massage help clients with tension headaches?

• Reduces hypotension

• Increases appetite

• Relaxes muscles

• Relieves migraines

While making initial rounds after coming on shift, the nurse finds a client thrashing about in bed complaining of a severe headache. The client tells the nurse the pain is behind the right eye, which is red and tearing. What type of headache would the nurse suspect this client of having?

• Migraine

• Tension

• Cluster

• Sinus

A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which finding?

• Transient ischemic attack (TIA)

• Left-sided cerebrovascular accident (CVA)

• Right-sided cerebrovascular accident (CVA)

• Completed Stroke

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an embolus partially obstructing the right carotid artery. What type of stroke does the nurse know this client has?

• Ischemic

• Hemorrhagic

• Right-sided

• Left-sided