Signs & Symptoms
Interventions
Patient & Family Education
100

The stroke symptom I look for when assessing drift 

What is:
Hemiplegia
Weakness on one side

100

What you call when you suspect your patient is having a stroke

What is:
Stroke Alert
  

100

What teaching method should we always include when educating patients and family?

What is:
Teach Back Method

200

A stroke symptom I assess for when listening to the patient's speech

What is:
Slurred and/or garbled speech
Expressive and/or global aphasia
Word finding issues

200

What you do if you're waiting for additional help to arrive and one of your other patients requests pain medication.  

What is:
Ask another nurse for help
Do not leave stroke patient alone

200

A list that's important to reconcile and review with the patient and family prior to discharge

What is:
The medication list

300

The stroke symptom I assess for when asking the patient to smile

What is:
Facial droop
Change in facial symmetry

300

Three nursing interventions to perform when your patient is having a stroke

What is:
Vital signs
Complete comprehensive neuro assessment
Make patient NPO
Suction PRN
Place patient on cardiac monitor (Zoll)
Establish large bore IV (18g if possible)
Obtain accurate weight if none in past 24hrs
Maintain O2 SATs >94%
Telestroke if appropriate for your area
Consider notifying family

300

An acronym to teach the patient and family prior to discharge so they can recognize something is wrong

What is:
BEFAST (Balance, Eyes, Face, Arms, Speech, Time)

400

Two interventions I want to do if I notice my patient drooling

What is:
Make patient NPO
Have suction available
Monitor airway
Swallow screening
Raise the HOB

400

A condition that may mimic stroke symptoms and warrants checking the patient's blood sugar

What is:
Hypoglycemia

400

A site provided by Cleveland Clinic where I can find patient education materials on stroke

What is:
-Lippincott Advisor:  Stroke
-Patient Education Handouts (Your Guide to Managing Stroke, Dysphagia Levels 1-3, Thickened Liquids)
-Lexicomp for medications


500

A stroke symptom I assess for with my penlight

What is:
Pupil changes and reactivity

500

One piece of important assessment data to know prior to administering tenecteplase per CCF PPM

What is:
Last Known Well (LKW)
Baseline vital signs and neuro status
Ensure BP < 185/110
Verify actual weight of patient

500

Where I document the discussion, I had with my patient on the booklet "Your Guide to Managing Stroke"?

What is:
Patient education section in Epic

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