WorksheetsSCRN hyper acute review
Total questions: 10
Worksheet time: 5mins
The most important action to emphasize in a community education program that will directly improve patient outcome and disability is…….
Activating EMS
Documenting symptom onset
Know your stroke risk factors
Monitor Blood pressure
A 911 caller complains of sudden onset of nausea, vomiting, and “the worst headache of my life.” Upon arrival at the scene, the patient is unconscious and has a GCS of 6. When the report is called to the ED, the nurse would expect the patient to be…
A candidate for tPA administration
Intubated and in need of mechanical intervention
A candidate for mechanical clot retrieval
Prepare for triple- H therapy
A family member calls 9-1-1 due to suspected stroke. The patient is taken to the nearest hospital via EMS which has a dedicated stroke focused program available 24/7 that is staffed by qualified medical professionals and has dedicated beds for stroke patients.
Acute ready stroke center
Primary stroke center
The closest hospital
Comprehensive stroke center
The MOST sensitive and specific imaging technique demonstrating acute infarction is…
Non-contrast CT
MR diffusion weighted imaging
CT with angiography
MR angiography
EMS has a patient that screens positive for stroke and the patient is showing symptoms of right sided weakness and speech difficulty. This patient should be taken to which level of care for stroke treatment?
Primary stroke center
Acute ready stroke hospital
Comprehensive stroke center
The closest hospital
The Nurse has an 86 yo new stroke patient that has been placed on oxygen to keep SpO2 greater than or equal to 92%. The SpO2 is 85%. Immediate intervention is needed because….
The brain does not store oxygen
This puts the patient at risk for seizure
This will alter the BMP
Elderly patients are at high risk for pneumonia
Which of the following statements best describes the pathophysiology of occlusion from ischemic stroke
Decreased cellular energy leading to decreased free radicals
Increased perfusion of the surrounding penumbra
Decreased cerebral blood flew leading to decreased perfusion
Increased disruption in overall cellular metabolism
You are an acute ready stroke center and have a hemorrhagic stroke in your ED that is being transferred to a higher level of care. You called air transport to transfer the patient to a higher level of care. The helicopter is grounded due to severe weather. What is the best option to continue care of this patient until transport arrives.
Consult the inpatient neurologist
There is nothing you can do but wait
Continue to monitor
Use tele- medicine for expert neurologic consultation
The completed and interpretation of the CT scan should be completed within....
20 minutes
45 minutes
60 minutes
10 minutes
Your patient arrives to the ED with stroke symptoms. A code stroke is called. As the SCRN you know that the expectation of door to physician exam is ...
5 minutes
10 minutes
25 minutes
3 minutes
