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
The nurse is performing stroke risk screenings at a hospital open house. The nurse has identified four patients who might be at risk for a stroke. Which patient is likely at the highest risk for a hemorrhagic stroke?
Correct Answer: B
Rationale: Uncontrolled hypertension is the primary risk factor for hemorrhagic stroke. Alcohol, diabetes, and smoking increase risk but are less significant than hypertension.
Question 2 of 5
A patient who just suffered a suspected ischemic stroke is brought to the ED by ambulance. On what should the nurses primary assessment focus?
Correct Answer: A
Rationale: Airway, breathing, and circulation (ABCs) are the priority in acute stroke to ensure airway patency and oxygenation. Seizures, pain, and fluid balance are assessed later.
Question 3 of 5
A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial pressure (ICP). What nursing intervention would be most appropriate for this patient?
Correct Answer: D
Rationale: Absolute bed rest minimizes BP elevation, reducing bleeding risk in cerebral aneurysms. Activity-based interventions increase ICP and are contraindicated.
Question 4 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 5 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.