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 patient recovering from a stroke has severe shoulder pain from subluxation of the shoulder and is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what principle of care?
Correct Answer: D
Rationale: Interlacing fingers and moving scapulae forward safely exercises the shoulder, reducing subluxation pain. Slings are used, elevation prevents edema, and passive exercise is beneficial.
Question 2 of 5
The patient has been diagnosed with aphasia after suffering a stroke. What can the nurse do to best make the patients atmosphere more conducive to communication?
Correct Answer: A
Rationale: A communication board reduces frustration by providing visual aids for needs. Completing sentences or loud speech may frustrate the patient, and phone calls may not be feasible.
Question 3 of 5
The nurse is assessing a patient with a suspected stroke. What assessment finding is most suggestive of a stroke?
Correct Answer: A
Rationale: Facial droop is a classic stroke sign. Dysrhythmias, edema, and vomiting are less specific or common in acute stroke.
Question 4 of 5
The nurse is caring for a patient diagnosed with an ischemic stroke and knows that effective positioning of the patient is important. Which of the following should be integrated into the patients plan of care?
Correct Answer: C
Rationale: Prone positioning with pelvic support promotes hip extension, preventing contractures. Flexed hips, supine-only positioning, and Trendelenberg are inappropriate.
Question 5 of 5
A patient has been admitted to the ICU after being recently diagnosed with an aneurysm and the patients admission orders include specific aneurysm precautions. What nursing action will the nurse incorporate into the patients plan of care?
Correct Answer: B
Rationale: Complete bed rest reduces BP and bleeding risk in aneurysms. HOB elevation varies, enemas are avoided, and compression stockings are often used.