Assessment
TNK
Stroke Types
Risk Factors
Core Measures
100

The neuro assessment that is completed on all stroke/TIA patients. 

What is NIHSS?

100

This first patient detail helps determine if the patient is eligible for TNK?

What is the last seen well or last known well. 

100

The most common type of stroke. 

What is ischemic?

100

People with this heart arrhythmia are more at risk for stroke than any other arrhythmia.

What is A Fib?

100

The preventative nursing intervention (Core Measure) that is due before the 2nd midnight for all stroke pts.

What is VTE prophylaxis? 

200

The screening that must be completed on all suspected stroke patient's before taking anything by mouth. 

What is the stroke swallow screen?

200

This diagnostic test is needed prior to administering TNK.

What is CT scan. 

200

Anticoagulants increases the risk of this. 

What is a hemorrhagic stroke?

200

This endocrine disease increases someone’s risk of stroke up to 4% more than someone without this diagnosis. 

What is diabetes?

200

The test that has to be completed within 25 minutes after an inpatient stroke team call.

What is CT scan?

300

The acronym BEFAST stand's for these components of stroke assessments. 

What is BEFAST?

300

With this type of stroke, the patient does not qualify for TNK.

What is hemorrhagic stroke?

300

This type of ischemic stroke is caused by a clot or plaque fragment that travels through the blood stream to the brain.

What is emobolic?

300

Smoking increases someone’s risk of stroke by this much.

What is 50%?

300

The required FIVE patient stroke education topics.

What are signs and symptoms, when to call 911, personal risk factors, discharge medications and follow up?

400

The stroke alert patient has a facial droop and speech difficulty, what is next?

What is fail stroke swallow screen and keep patient strictly NPO.
400

The time window for administration of TNK.

What is 4.5 hours from onset of symptoms.

400

The most common cause of intracerebral hemorrhagic stroke. 

What is hypertension?

400

After this age, risk of stroke more than doubles every decade.

What is 55?

400

The risk factors for stroke.

What are HTN, diabetes, a fib or other cardiac disease and hyperlipidemia?

500

The target systolic blood pressure for hemorrhagic stroke patients.

What is 130-150 per AHA guidelines.

500

A reaction that can occur from TNK with risk increased if patient on ACE inhibitor.

What is angioedema?

500

Two most common causes of subarachnoid stroke?

What is trauma and aneurysm? 

500

Up to this percentage of stroke are preventable.

What is 80%?

500

Where to document risk factor education and the required FIVE patient stroke education topics.

What is the Education tab – Stroke ischemic or hemorrhagic or on the AVS?

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