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
What should be included in the patients care plan when establishing an exercise program for a patient affected by a stroke?
Correct Answer: D
Rationale: Passive ROM four to five times daily prevents contractures and maintains mobility. Active ROM should be more frequent, and limited activity is not ideal.
Question 2 of 5
A female patient is diagnosed with a right-sided stroke. The patient is now experiencing hemianopsia. How might the nurse help the patient manage her potential sensory and perceptional difficulties?
Correct Answer: D
Rationale: Placing extremities in the intact visual field reduces neglect in hemianopsia. Approaching on the intact side and keeping lighting adequate also help.
Question 3 of 5
The public health nurse is planning a health promotion campaign that reflects current epidemiologic trends. The nurse should know that hemorrhagic stroke currently accounts for what percentage of total strokes in the United States?
Correct Answer: D
Rationale: Hemorrhagic strokes account for 13% of total strokes, with ischemic strokes comprising 87%.
Question 4 of 5
A patient who has experienced an ischemic stroke has been admitted to the medical unit. The patients family in adamant that she remain on bed rest to hasten her recovery and to conserve energy. What principle of care should inform the nurses response to the family?
Correct Answer: A
Rationale: Early mobilization prevents complications like contractures and DVT. Prolonged bed rest or waiting for patient initiative is not recommended.
Question 5 of 5
A patient has recently begun mobilizing during the recovery from an ischemic stroke. To protect the patients safety during mobilization, the nurse should perform what action?
Correct Answer: B
Rationale: A wheelchair nearby ensures safety if the patient becomes fatigued or dizzy. Family participation is encouraged, and timing is not restricted.