Cerebrovascular Accident

Question 1

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

Answer 1

Lower

Question 2

Name 3 types of CVA.

Answer 2

Embolus
Thrombus
Hemorrhage

Question 3

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

Answer 3

False

Question 4

What increase the risk of CVA?

Answer 4

Oral contraceptives
Obesity
Smoking
A Fib

Question 5

What is a TIA?

Answer 5

Transient ischemic attack, warning sign of impending CVA

Question 6

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

Answer 6

Destruction, blood flow and oxygen

Question 7

Do patients experiencing a CVA have a headache?

Answer 7

Yes

Question 8

The first sign of CVA is usually a_____

Answer 8

Change in LOC

Question 9

The activity order in early management of CVA is_____

Answer 9

Absolute bed rest

Question 10

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

Answer 10

Restricted

Question 11

How far should the HOB be up after CVA?

Answer 11

30 degree

Question 12

Can a stroke victim be turned side to side?

Answer 12

Yes

Question 13

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

Answer 13

False, no longer then 20 minutes

Question 14

ROM exercises should occur______

Answer 14

q4h or 3x a day

Question 15

What type of paralysis typical of CVA

Answer 15

Hemiplegia- one side of the body

Question 16

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

Answer 16

Right arm, right leg, left

Question 17

What is hemianopsia?

Answer 17

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

Question 18

The client with hemianopsia should be taught to_____

Answer 18

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

Question 19

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

Answer 19

Right

Question 20

After meals the nurse must always check____of the CVA client for_____

Answer 20

Mouth (or cheek) food

Question 21

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

Answer 21

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

Question 22

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

Answer 22

Receptive aphasia

Question 23

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

Answer 23

Expressive aphasia

Question 24

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

Answer 24

Dominant

Question 25

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

Answer 25

It is the side that control their dominant hand

Question 26

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

Answer 26

Receptive

Question 27

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

Answer 27

Expressive

Question 28

Apraxia

Answer 28

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