stoke and TIA
what is a normal finding
An elderly client diagnosed with dementia was admitted from a long-term facility to the hospital two days ago. The client's children express concern that their parent's confusion has gotten worse since being admitted.
What is an expected outcome with relocating a person with dementia to new surroundings
what is the expected nursing intervention when a patient with epilepsy is admitted to the unit and ha a seizure
observe the length an activity of the seizure
which finding is most important for the nurse to report to the doctor with a patient with guillian barre?
decreased cognitive status
The spouse of client with an intracranial hemorrhage asks the nurse, “Why aren’t they administering an anticoagulant?” How should the nurse respond?
it is a contraindication because bleeding will increase
A patient is admitted to the hospital with a diagnosis of transient ischemic attack (TIA). The patient asks the nurse to explain to him what a TIA is. Which statement by the nurse is most accurate?
a TIA is often a precursor to a stroke
A client with severe Parkinson disease diagnosed with dysphagia, drooling, generalized weakness, and slurred speech is admitted to the unit. Which nursing action should the practical nurse implement first for this client?
set up suction at the bedside
what is the first intervention the nurse should implement for a patient being admitted with new onset seizure
set up suction and oxygen at the bedside
A client diagnosed with a herniated disc is prescribed hydrocodone/acetaminophen 10 mg/300 mg PRN every 4 to 6 hours. As the practical nurse (PN) enters the client's room to administer their requested medication, the client is seen talking and laughing with his visiting family. Which action should the PN implement?
administer the medication as requested
The nurse is caring for a client with an intracranial aneurysm who was previously alert. Which findings are early indications that the level of consciousness (LOC) is deteriorating
less frequent speech
A client with a stroke (brain attack) has residual dysphagia. When a diet prescription is initiated, the should nurse AVOID which action?
giving thin liquids
The practical nurse administered carbidopa levodopa to a client diagnosed with Parkinson disease. Which outcome by the client would indicate a therapeutic response?
decreasing tremors
A client is prescribed phenobarbital 100 mg daily for the treatment of seizures. Which statement made by the client indicates an accurate understanding of the medication phenobarbital?
take this medication at the same time every day
What components make up the clasgow coma scale
which sign of increased intracranial pressure should be reported immediately
vomiting
The nurse is preparing to care for a client with a diagnosis of brain attack (stroke). The nurse notes in the client's record that the client has neglect (anosognosia). The nurse plans care, knowing which is a characteristic of neglect (anosognosia)?
the client neglects the affected side
objects should be placed here for a client with right hemiparesis
with in the patients reach on the left side
The nurse is assisting in admitting a client who experienced seizure activity in the emergency department. The nurse AVOIDs which action when managing this client's environment?
keeping the bed raised to the level of the nurses waist
this position should be maintained after a lumbar puncture
supine for several hours
what is the purpose of a craniotomy with a bone flap
A patient experiencing TIAs is scheduled for a carotid endarterectomy. The patient asks the nurse what this procedure is. The nurse correctly responds with which response?
This procedure helps prevent a stroke by removing atherosclerotic plaques obstructing cerebral blood flow.
these interventions should be implemented for the aphasic stoke patient
face the client when talking, speak slowly, maintain eye contact, use gestures
tumor in this area of the brain will result in visual changes
occipital lobe
this should be at the bedside of the patient with guillian barre
EKG and intubation tray
what symptoms are to be expected with a concussion and does not require follow up
minor headache