stroke

Question 1

what a brain attack

Answer 1

a brain attack is another term used for strokw

Question 2

what is aphasia/dyphasia

Answer 2

this is a speech problem due to damage from the cerebral cortex

Question 3

embolic stroke

Answer 3

stoke that occurs when an embolus lodges itself occulding a cerebral artery

Question 4

hemorrhagic stroke

Answer 4

stroke that results from bleeding intp brain tissues

Question 5

intracerebral hemorrhage

Answer 5

when bleeding occurs within the brain caused by a rupture of a blood vessel

Question 6

ischemic stroke

Answer 6

stroke that occurs due to lack of blood flow

Question 7

when do death of brain cells occur when there is ischemia or hemorrhage into the brain

Answer 7

stroke

Question 8

thrombotic stroke

Answer 8

a stroke that occurs from thrombosis or narrowing of a blood vessel

Question 9

age, gender, ethnicity, race, family history, heredity, low birtth weight

Answer 9

are non-modifiable risk factors

Question 10

what increases with age and doubles each decade after 55 years

Answer 10

stroke

Question 11

what gender is stroke more common in

Answer 11

men

Question 12

your patient is a male, 65 years old, and a smoker, what is he at risk for

Answer 12

stroke

Question 13

what is the third most common cause of death in canada

Answer 13

stroke

Question 14

what stroke is cause by a ruptured vessel

Answer 14

intracerebral

Question 15

what stroke occurs when there is intracranial bleeding into the CSF

Answer 15

subarachinoid

Question 16

what stroke symptoms are the same

Answer 16

ischemic and hemorrhagic symptoms

Question 17

akinesia

Answer 17

loss of voluntary movement

Question 18

hyporeflexia

Answer 18

depressed reflexes

Question 19

dysphasia is what

Answer 19

inability to communicate

Question 20

what kind of aphasia is expressed in difficulty expressing thooughs an words

Answer 20

expression

Question 21

what kind of aphasia - difficulty understanding written language

Answer 21

repressive

Question 22

what kind of aphasia is the least severe form

Answer 22

anomic, person will have problems wit naming things

Question 23

what is global aphasia characterized by

Answer 23

loss of all expressive and repeptive function

Question 24

what does left sided stroke affect

Answer 24

memory rt language

Question 25

right side stroke intellectual

Answer 25

affects people to be more impulsive and move quick

Question 26

agonisa

Answer 26

this is the inability to recognixe object by sight, touch, or hearing

Question 27

apraxia

Answer 27

inability to carry out learned sequential movements by command

Question 28

what elimination problems may a patient have

Answer 28

difficulty with frequency, urgency, and incontinence

Question 29

what is the most important test for stroke

Answer 29

MRI

Question 30

what are mris used for

Answer 30

they are used to determine the extent of the brain iinjurty and are good for detecting lesions

Question 31

they are used to determine the extent of the brain iinjurty and are good for detecting lesions

Answer 31

mri

Question 32

why do we want to prevent hypoxia and hypercarbia

Answer 32

to prevent secondary neuronal ijury

Question 33

what always increasee a stroke

Answer 33

blood pressure

Question 34

what must always be administered after a stroke

Answer 34

antihypertension drugs

Question 35

what balances must be controlled

Answer 35

fluid and electrolyte

Question 36

why must fluid and electrolyte balances be moniotred

Answer 36

bc over hydration may compromise perfusion increasing cerebral edema

Question 37

what other healthcare members can we include in the rehabilitation phase

Answer 37

occupational therapy and physical therapy, speech

Question 38

) the patient’s rehabilitation potential 2) physical status of all body systems 3) complications caused by the stroke or other chronic conditions 4) the patient’s cognitive status 5) family resources and support 6) expectations of the patient and caregiver related to the rehabilitation program. whos role is this

Answer 38

the rehabilitation nurses role

Question 39

why is risk for aspiration pneumonia

Answer 39

bc of dyphasgia and impaired consciousness

Question 40

what can occur because of impaired consciousness or dysphagia

Answer 40

airway obstruction

Question 41

all stroke patient should be screened for what

Answer 41

ability to swallow

Question 42

what are some nursing interventions for respiratory system

Answer 42

frequently assessing airway patency and function providing oxygenation, sunctioning, promoting patient mobility, positioning the patient to prevent aspriation, encouraging deep breathing

Question 43

assessing airway patency and function, providing oxygenation, suctioning, promoting patient mobility, positioning the patient to prevent aspiration, and encouraging deep breathing

Answer 43

nursing interventions for the respiratory system

Question 44

primary clinical assessment took to avaluate and document neurological status in acute stroke patients

Answer 44

NIHSS

Question 45

additional neurological assessment

Answer 45

pupils, mental status, extremity movement

Question 46

nursing goals for the CV system are aimed at what?

Answer 46

maintaining homeostasis

Question 47

nursing interventions for the cardiovasuclar system

Answer 47

monitor the vital signs frequently, cardiac rhythms, calculating intake and output, regulating IV fluids, monitoring lungs for crackles

Question 48

monitor the vital signs frequently, cardiac rhythms, calculating intake and output, regulating IV fluids, monitoring lungs for crackles

Answer 48

nursing interventions for the cardiovasuclar system

Question 49

nursing assessment for VTE

Answer 49

measuring calf and thigh daily, observing swelling of the lower extremeties, noting unusual warmth of the leg

Question 50

what is a vte

Answer 50

venous thromboembolism

Question 51

what is the nursing goal for the msk system

Answer 51

is to maintain optimal function by preventing joint contractures and atrophy

Question 52

important nursing interventions in the acute phase of stroke

Answer 52

ROM exercises and positioning

Question 53

1) trochanter roll at the hip to prevent external rotation 2) hand cones (not rolled washcloths) to prevent hand contractures 3) arm supports with slings and lap boards to prevent shoulder displacement 4) avoidance of pulling the patient by the arm to avoid shoulder displacement 5) posterior leg splints, footboards, or high-top tennis shoes to prevent foot-drop 6) hand splints to reduce spasticity.

Answer 53

These are nursing interventions for msk

Question 54

most common bowel problem

Answer 54

constipation

Question 55

a patient with a stroke on the right side of the brain will present with what deficits

Answer 55

juding potion, distance and rate of movement

Question 56

whta patients are often impulsive and impatient and tend to deny problems rt strokes

Answer 56

right sided

Question 57

what are patients with right sided stroke at more risk for

Answer 57

mobility issues