Patho
A sudden disruption of blood flow to the brain that impairs neurological function.
Refer to Khan academy video on Bb and Lippincott Advisor
What is a stroke?
survey used to assess severity CVA
What is NIHSS?
the higher the score the more severe the stroke is.
untreated A-fib increased the likelihood a client can experience
What is an ischemic stroke
This acronym is used to teach clinical staff and provide patient education to recognize clinical symptoms of a stroke
What is F.A.S.T?
* bonus Please explain the acronym and what it stands for
a class of medication used for stroke prevention
What are anticoagulants?
Cause by a thrombus or emboli that occludes cerebral blood flow
What is an ischemic stroke?
the term for the inability to express one's self and the area most likely affected causing this condition
What is aphasia and Broca area?
s/s of ischemic stroke
What is numbness or weakness of the face, arm, and or leg that is usually one-sided? What is changes in mental status, difficulty speaking or understanding speech (aphasia).
*see table 67-1 in Med-surg pp. 2010
The ED nurse prepares a client with s/s of CVA for this diagnostic test
What is a CT scan?
*further workup such as EKG and Carotid US are standard per class text
to decrease ICP the neurology nurse would expect to administer this diuretic
What is an osmotic diuretic (mannitol)?
leakage of blood vessel in a particular region of the brain causing edema and cerebral compression is secondary to this disease and or condition
What is chronic hypertension
the student understand there are two forms of hemorrhagic strokes
What are intracerebral and subarachnoid hemorrhage?
American stroke association. Link on Bb
abuse of this illicit drug increases chance of an ischemic stroke
What is cocaine abuse?
med-surg pg. 2010
the nurse understands it is inappropriate lie a patient flat that has increased ICP. The nurse knows to...
What is Elevate the head of the bed to a 30 degree angle?
* elevate head of the bed
*med-surg pg. 2021
What is glucose?
Porth's Essentials of Pathophysiology pg.309
the nurse expects to hear what subjective data from a patient experiencing a SAH (aneurysmal subarachnoid hemorrhage)
What is a severe headache "worst headache of my life"
modifiable risk factors
What is treating hypertension, healthy diet, and smoking cessation?
a patient had a left sided CVA has homonymous hemianopsia, the nurse will implement which action
What is place objections in intact field of vision; place objects on left side
*table 67-2
a nurse monitoring for adverse reactions to anticoagulants
What is the nurse monitor for s/s of: alopecia (hair loss), GI upset, bone marrow depression, and rash
*Lippincott CoursePoint for Karch's Focus on Nursing Pharmacology pg. 846
After a frustrating class 6th grade female instructor c/o dizziness, headache, and right arm weakness. The school nurse recommends she goes to the Emergency department. Once the instructors arrives to the symptoms has resolved. explain what happened
What is a TIA (transient ischemia attack)
What is Perform a neurological assessment every 15-30 minutes?
to ensure adequate cerebral perfusion the nurse would be sure to monitor ____ when taking blood pressure
What is Mean Arterial Pressure?
* book mention 70 mm hg to 140 mm hg ensure adequate perfusion
a perceptor nurse intervenes when a senior nursing student assists a client with right hemiparesis to transfer from bed to chair if the nurse concludes which action is BEST to address the needs of the patient.
a) using a transfer belt by applying it around the waist securely
b) Help to stabilize the patient weakened knee during transfer
* this question was adaptated from Mymastery NCLEX APP.
What is help to stabilize the patient weakened knee during transfer?
*this helps with stability and helps decrease falls risk.
this medication can be used to limit the extent of secondary brain damage caused by a stroke and revitalize the penumbra area.
What is t-PA (tissue plasminogen activator)
*med-surg pg. 2011
the goal is to administer the medication with 60 minutes of patient arriving to ED, may be given between 3 to up 4.5 hours after onset of symptoms. Some institutions may allow administration up to 6 hours.