Chapter 47 Patients With Cerebrovascular Disorders

Chapter 47  Patients With Cerebrovascular Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient has had an ischemic stroke and has been admitted to the unit. The nurse knows the importance of the principles of body alignment and correct positioning to stroke victims. How should the nurse position the patient to prevent joint deformities?
A)
Place the patient flat in the prone position for 30 minutes per day.
B)
Assist the patient in acutely flexing the thigh to promote movement.
C)
Place a pillow in the axilla when there is limited external rotation.
D)
Place patient’s hand in pronation.

2.
A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for what purpose?
A)
To decrease cerebral edema
B)
To prevent seizure activity that is common following a TIA
C)
To prevent a stroke by removing atherosclerotic plaques blocking cerebral flow
D)
To determine the cause of the TIA

3.
The nurse is discharging home a patient who suffered a stroke. The patient has a flaccid right arm and leg and is experiencing problems with urinary incontinence. The nurse makes a referral to the home health nurse because the hospital nurse is aware that the most common patient response to a change in body image is what?
A)
Denial
B)
Sexual dysfunction
C)
Depression
D)
Disassociation

4.
When caring for a patient who has had a hemorrhagic stroke, close monitoring of vital signs and neurological status is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke?
A)
Headache
B)
Alteration in level of consciousness (LOC)
C)
Tonic-clonic seizures
D)
Shortness of breath

5.
The nurse is performing stroke risk screenings at a hospital open house. Identification of high-risk individuals is the goal of the screenings. The nurse has identified four patients who might be at risk for a stroke. Which patient is likely at highest risk for a stroke?
A)
White woman, age 60 with history of excessive alcohol intake
B)
White man, age 60 with history of uncontrolled hypertension
C)
Black man, age 60, with history of diabetes
D)
Black man, age 50 with history of smoking

Answer Key

1.
C
2.
C
3.
C
4.
B
5.
B