Cerebrovascular Accident (CVA) Flashcards Preview

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Flashcards in Cerebrovascular Accident (CVA) Deck (19)
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1

Define the term CVA.

Reduction of cerebral blood flow and oxygen causing brain cell damage

2

The three most common causes of CVA are____?

Embolism, hemorrhage, thrombus

3

What are the signs of a CVA

Client complains of headache,
nausea, nuchal rigidity, HTN, slow bounding pulse, Cheyne-Stokes respirations, Speech change facial droop

4

What is the difference between CVA and Transient Ischemic Attack (TIA)?

TIA is a temporary period of neurological deficit. It has similar signs as a CVA, but the symptom will all resolve

5

What is agnosia?

Inability to use an object correctly

6

Expressive aphasia occurs when_____

Client cannot communicate properly ( aphasia can be expressive or receptive)

7

If the left hemisphere is affected you will see weakness on the ____ side

Right

8

If the right hemisphere is affected, you will see weakness on the ____ side

Left

9

Remember to place the clients belongings on the ____ side

Unaffected

10

The test used to determine a CVA are?

CT, EEG, and cerebral arteriography

11

What are the nursing assessments?

Monitor vital signs, neuro checks, watch for seizures, monitor for increase in cranial pressure, check ability to swallow

12

What complication of the eyes can a client with a CVA have?

Corneal abrasions because Lacrimal glands will not produce secretions

13

What is the activity level for this client

Strict bed rest

14

How should the room environment be?

Quiet, peaceful, with objects within reach on unaffected side

15

How do you position the CVA client?

Turn q two hours on unaffected side, 20 minutes on affected side make sure to elevate affected extremities

16

Why would a thrombolytic be given?

To dissolve clot

17

Do not give throbolytics if the causes is____

hemorrhage

18

What other medications may be prescribed to treat a CVA?

Anti-hypertensive,
anti-coagulants (not for hemorrhage stroke!) and anti-convulsants

19

What anti-coagulants like Coumadin and aspirin dissolve clots?

No, they only thin the blood; they do not dissolve the clots

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