Cerebrovascular Accident Flashcards Preview

Nclex Review > Cerebrovascular Accident > Flashcards

Flashcards in Cerebrovascular Accident Deck (28):
1

Women have a (higher/lower) incidence of stroke than men?

Lower

2

Name 3 types of CVA.

Embolus
Thrombus
Hemorrhage

3

Chronic abuse of alcohol increase risk of CVA . (T/F)

False

4

What increase the risk of CVA?

Oral contraceptives
Obesity
Smoking
A Fib

5

What is a TIA?

Transient ischemic attack, warning sign of impending CVA

6

A CVA is a ___ of the brain cells due to decrease_____ ____ and ____.

Destruction, blood flow and oxygen

7

Do patients experiencing a CVA have a headache?

Yes

8

The first sign of CVA is usually a_____

Change in LOC

9

The activity order in early management of CVA is_____

Absolute bed rest

10

The patient with a recent CVA is most likely to have fluid restricted or forced

Restricted

11

How far should the HOB be up after CVA?

30 degree

12

Can a stroke victim be turned side to side?

Yes

13

The CVA patient should be turned onto his paralyzed side no longer than 2 hrs. (T/F)

False, no longer then 20 minutes

14

ROM exercises should occur______

q4h or 3x a day

15

What type of paralysis typical of CVA

Hemiplegia- one side of the body

16

If the patient has right hemiplegia, he cannot move his____and____the stroke was on the____side of the brain.

Right arm, right leg, left

17

What is hemianopsia?

Not being able to see 1/2 of the field of vision

18

The client with hemianopsia should be taught to_____

Scan- moving the head from side to side see the whole field of vision

19

If the client has right homonymous hemianopsia, food on the______ side of the tray may be ignored.

Right

20

After meals the nurse must always check____of the CVA client for_____

Mouth (or cheek) food

21

Should a CVA patient have all four side rails up at all times? Should they be restrained?

Side rails yes. Restraints no unless they are danger to self or othersw

22

When a patient does not understand incoming language , this is called?

Receptive aphasia

23

When a CVA patient understand your question but can't respond verbally, this is called?

Expressive aphasia

24

Aphasia is most common if the stoke occurred in the (dominant/non-dominant) hemisphere of the brain.

Dominant

25

How do you tell which side of the persons brain dominant?

It is the side that control their dominant hand

26

For which type of aphasia are slow, short, simple directions most useful?

Receptive

27

For which type of aphasia is careful listening and needs anticipation most useful?

Expressive

28

Apraxia

The loss of ability to perform purposeful skilled acts, i.e. Brushing teeth