1. The nurse assesses for which predisposing factor for embolic stroke in the history of the client admitted to the hospital after having a brain attack?a.Seizuresb.Psychotropic drug usec.Atrial fibrillationd.Cerebral aneurysm
    ANS:   C Clients with a history of hypertension, heart disease, atrial fibrillation, diabetes, obesity, and hypercoagulopathy are at risk of embolic stroke.
  2. A client with aphasia presents to the emergency room with a suspected brain attack. Which assessment data would lead the nurse to suspect that this client has had a thrombotic stroke?a.Two episodes of speech difficulties in the last month
    b.A sudden loss of motor coordination
    c.Recent seizure activity
    d.Nuchal rigidity
    ANS:   A A thrombotic stroke is characterized by a gradual onset of symptoms that are often preceded by transient ischemic attacks, causing a focal neurologic dysfunction.
  3. Which question is appropriate for the nurse to ask the family of an older adult presenting to the emergency department in a coma to help determine whether the coma is related to a brain attack?a.How many hours does the client usually spend sleeping at night and in the daytime?b.Did the client ever describe weakness in the lower extremities in the past few days?c.Is there any history of seizures among the client’s siblings or parents?d.Does the client have a history of drug or alcohol use or abuse?
    ANS:   DConcurrent conditions such as drug or alcohol intoxication, as well as hypoxemia and metabolic disturbances, can cause profound changes in level of consciousness (LOC) and must be investigated. Alcohol abuse and medication toxicity can be problematic in older adults.
Card Set
Musculo and Neuro