ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 67 : Management of Patients with Cerebrovascular Disorders Questions
Question 1 of 5
A nurse is caring for a patient diagnosed with a hemorrhagic stroke. When creating this patients plan of care, what goal should be prioritized?
Correct Answer: B
Rationale: Cerebral perfusion is a priority physiologic need for survival in hemorrhagic stroke. Other goals are important but secondary.
Question 2 of 5
The nurse is preparing health education for a patient who is being discharged after hospitalization for a hemorrhagic stroke. What content should the nurse include in this education?
Correct Answer: C
Rationale: Antihypertensive therapy is critical to manage hypertension, a key risk factor for hemorrhagic stroke. Seizures, ibuprofen use, and drowsiness are not normal or advised.
Question 3 of 5
A patient diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?
Correct Answer: D
Rationale: A severe headache may indicate aneurysm leakage, requiring immediate physician notification. Analgesics or sitting with the patient delays critical intervention.
Question 4 of 5
A patient is brought by ambulance to the ED after suffering what the family thinks is a stroke. The nurse caring for this patient is aware that an absolute contraindication for thrombolytic therapy is what?
Correct Answer: A
Rationale: Thrombolytic therapy is contraindicated in hemorrhagic stroke due to bleeding risk. High BP, stroke evolution, or prior thrombolytic use are not absolute contraindications.
Question 5 of 5
When caring for a patient who has had a stroke, a priority is reduction of ICP. What patient position is most consistent with this goal?
Correct Answer: B
Rationale: HOB elevation promotes venous drainage, reducing ICP. Neck extension or frequent position changes may increase ICP, and head turning is less effective.