STROKES
SIGNS & SYMPTOMS
TESTS & TREATMENTS

Nursing Care
100
The most common type of stroke.
What is ischemic?
100
Assessment for facial droop, arm weakness, speech difficulty, and time to call 911

What is the FAST assessment

100

A commonly ordered test to determine if a stroke has occurred and what kind of stroke.

What is a CT scan without contrast?

100

Month and patient's age.

What are LOC Questions?

100

Specific to patient and document on every shift

What is education and plan of care

200

This cardiac rhythm increases the risk of an ischemic stroke

What is atrial fibrillation

200

Last only a few minutes and most symptoms resolve in less than 24 hours

What is a transient ischemic attack aka TIA

200

The nurse would expect this if the CT scan is negative for hemorrhage

What is TNK/tPA administration

200
Open and close eyes and grip and release the non-paretic hand.
What are LOC Commands?
200

Head of bed in Semi-Fowler's position (30 degrees) or higher.

What is the preferred position for patients with dysphagia?

300

The type of ischemic stroke caused by fragment that  travels through the bloodstream to the brain.

What is embolic?

300

Patient reports the worst headache of their life

What is a subarachnoid hemorrhage

300

The nurse can quickly perform this test  to r/o a process that can mimic a stroke

What is fingerstick blood sugar

300
Ask (or use pantomime to encourage) the patient to show teeth or raise eyebrows and close eyes.
What is Facial Palsy?
300

The earliest sign of neurological change.

What is altered level of consciousness (ALOC)?

400

The most common cause of  hemorrhagic strokes

What is hypertension

400

Nurse assessment reveals new unilateral facial droop

What is nurse will call a code stroke

400

These clot-busting drugs must be given within 4.5 hours of onset of stroke symptoms.

What is tPA or TNK?

400
In this subscale exam, the nurse asks the patient to read or repeat words from a list of words.
What is Dysarthria?
400
The nurse is responsible for protecting the patient from this.
What is injury?
500

2 hemorrhagic stroke classifications

What are intracerebral and subarachnoid

500
Sudden face and limb pain, hiccups, nausea, general weakness, chest pain, shortness of breath, and palpitations.
What are the stroke symptoms unique to women?
500

The FDA-approved device that is threaded through the arteries into the brain to retrieve a clot.

What is the Merci Retriever?

500
Ask patient to describe what is happening in the picture, name items, and read from a list of sentences.
What is Best Language?
500
This is needed by the family, along with instructions about how to visit a patient with ALOC.
What is emotional support?
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