Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders

Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient with a temporary loss of motor function is diagnosed with a transient ischemic attack (TIA). What should the nurse include when assisting in the teaching about this health problem?

a.	“You had a small hemorrhage in your brain.”
b.	“Your brain was temporarily deprived of oxygen.”
c.	“The neurons in your brain are tangled, so messages get mixed up.”
d.	“You have a vessel that is occluded, blocking the blood supply to your brain.”

 

 

____     2.   The nurse is assisting with teaching a patient who has had a transient ischemic attack (TIA). On which understanding should the nurse base teaching?

a.	TIAs are not serious, and the patient should have no further problems.
b.	A TIA is predictive that the patient will have a heart attack within 1 year.
c.	A TIA is a medical emergency that requires immediate surgical intervention.
d.	A TIA is a forewarning that the patient is at risk for a cerebrovascular accident (stroke).

 

 

____     3.   The nurse is planning care for a client with right-sided weakness and aphasia from a transient ischemic attack (TIA). Which area of the brain should the nurse realize was affected in this client?

a.	Medulla
b.	Occipital lobe
c.	Left hemisphere
d.	Right hemisphere

 

 

____     4.   A patient with a cerebrovascular accident (stroke) has left-sided flaccidity and is unable to speak but seems to understand everything the nurse says. Which term should the nurse use to document the patient’s communication impairment?

a.	Sensory aphasia
b.	Motor dysphagia
c.	Expressive aphasia
d.	Receptive dysphagia

 

 

____     5.   The nurse is documenting care provided to a patient with left-sided flaccidity caused by a stroke. Which term should the nurse use to document this patient’s motor status?

a.	Ipsilateral paraplegia
b.	Ipsilateral hemiparesis
c.	Contralateral hemiplegia
d.	Contralateral quadriparesis

 

MULTIPLE CHOICE

 

1. ANS:  B

TIA is a temporary impairment of the cerebral circulation causing neurological impairment that lasts less than 24 hours. A. A hemorrhage would cause a hemorrhagic stroke. D. A fully occluded vessel causes an ischemic stroke. C. Tangled messages refer to Alzheimer’s disease.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

2. ANS:  D

About a third of patients who experience a TIA will have a stroke in the future. A. Urgent evaluation of TIA is essential in order to decrease the risk of stroke. B. There are no data related to myocardial infarction (MI) prediction. C. It is not a surgical problem.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

3. ANS:  C

Symptom onset is sudden and generally involves one side of the body—the side of the body opposite to the damaged area. A. B. The manifestations of right-sided weakness and aphasia would not be present if the TIA occurred in the medulla or occipital lobe. D. The client would have left-sided manifestations if the TIA occurred in the right hemisphere.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis

 

4. ANS:  C

Aphasia may be expressive, in which the patient knows what he or she wants to say but cannot speak or make sense. D. Receptive aphasia is an inability to understand spoken or written words. The patient experiencing receptive aphasia is unable to understand language. B. Dysphagia refers to difficulty swallowing. A. Sensory aphasia is not a type of communication impairment.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

5. ANS:  C

A patient with a stroke has symptoms on the opposite side of the stroke, which is called contralateral. One-sided flaccidity is called hemiplegia. A. Ipsilateral means the same side. Para refers to the lower extremities. D. Quad refers to all four extremities; B. Hemiparesis is another term for hemiplegia.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application