Chapter 35--Dysfunction of the Brain: Nursing Management

Chapter 35–Dysfunction of the Brain: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. For the client who is at risk for stroke, the most important guideline the nurse should teach is to:

ANS:  2

Monitoring weight and activity is important, but the highest priority is monitoring the blood pressure. This is a modifiable risk factor that, when controlled, will decrease the risk of stroke.

PTS:   1                    DIF:    Apply

REF:   Box 35-1 Modifiable Risk Factors for Stroke Development

2. The family of a client diagnosed with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every:

ANS:  1

In the United States, a person has a stroke every 40 seconds, and 700,000 new or recurrent strokes each year. Strokes are the third leading cause of death in the United States behind heart disease and cancer and are the leading cause of long-term disability.

PTS:   1                    DIF:    Apply            REF:   Cerebrovascular Accidents or Strokes

3. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is:

ANS:  1

The CT scan is widely available in most hospitals and is an important tool to differentiate between ischemic strokes and hemorrhagic stroke. It is the most common tool used to diagnose a stroke. An MRI is contraindicated in clients with metal implants or pacemakers, and it can exacerbate claustrophobia. An EEG will determine the presence of brain waves, and it is not a diagnostic test for a stroke. A PET scan determines brain tissue functioning but, it will not be able to differentiate between the types of strokes.

PTS:   1                    DIF:    Analyze         REF:   Diagnostic Tests

4. While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT:

ANS:  3

Although anticholinergic drugs have a variety of uses, stroke prevention is not one of them. All the other medications are used in a variety of ways to help with stroke prevention.

PTS:   1                    DIF:    Apply            REF:   Pharmacology

5. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department?

ANS:  2

Medications like tPA should be given within 60 minutes of the client’s arrival to the emergency department. This is why health care teams must have a plan to deal with stroke clients quickly and efficiently.

PTS:   1                    DIF:    Analyze         REF:   Emergency Management