Stroke & Neuro Assessment
This stroke occurs when a clot formed elsewhere travels to a cerebral artery.
What is an embolic stroke?
A patient has just experienced a generalized tonic-clonic seizure. The patient is now drowsy, confused, and reports a headache. Which phase of the seizure is the patient experiencing?
Postictal phase
Fatigue, weight gain, cold intolerance, and constipation suggest this endocrine disorder.
What is hypothyroidism?
Hyperpigmentation, weight loss, hypotension, and fatigue are characteristic findings of this disorder.
What is Addison disease?
A patient with stroke symptoms coughs when drinking water.
What is aspiration risk?
This stroke often develops gradually and may be preceded by (Transient ischemic attacks) TIAs.
What is a thrombotic ischemic stroke?
Continuous seizure activity lasting longer than 5 minutes.
What is status epilepticus
Weight loss despite increased appetite, heat intolerance, tachycardia, and tremors suggest this disorder.
What is hyperthyroidism?
Moon face, buffalo hump, purple striae, and hyperglycemia are common findings in this disorder.
What is Cushing syndrome?
A patient with hemorrhagic stroke becomes increasingly drowsy and develops unequal pupils.
What is worsening increased intracranial pressure?
Sudden severe headache, vomiting, decreased LOC, and hypertension suggest this type of stroke.
What is a hemorrhagic stroke?
The priority nursing action during an active tonic-clonic seizure.
What is maintaining airway and patient safety?
Two primary laboratory findings used to confirm the diagnosis of hyperthyroidism
Decreased TSH levels and Elevated free T4 levels
A client with Addison disease develops vomiting, diarrhea, hypotension, and confusion after influenza.
What is an Addisonian crisis?
A patient with a history of Graves' disease arrives at the emergency department with: Temp 40.2°C, HR 168/min, BP 160/100, Restlessness and confusion
A patient develops bradycardia, hypertension, and irregular respirations after a stroke.
What is Cushing's triad indicating increased intracranial pressure?
This seizure presents as a sudden brief loss of muscle tone resulting in "drop attacks."
What is an atonic seizure?
The first-line antithyroid medications used in the treatment of hyperthyroidism?
Thionamides, such as propylthiouracil (PTU), carbimazole, and methimazole (Tapazole).
This electrolyte abnormality is commonly seen in Addison disease.
What is hyperkalemia?
A patient with hypertension develops: "Worst headache ever, Vomiting, Decreasing LOC, BP 220/120 mm Hg.
A patient suddenly develops aphasia and hemiparesis while eating breakfast. CT shows no bleeding.
What is an acute ischemic embolic stroke?
A patient remains confused and lethargic following a generalized tonic-clonic seizure. This phase is called:
What is the postictal phase?
A patient with hyperthyroidism develops atrial fibrillation and sudden-onset stroke symptoms. What links these conditions?
What is increased risk of embolic stroke due to atrial fibrillation?
A patient receiving long-term prednisone suddenly stops the medication and presents with severe hypotension and shock.
What is acute adrenal insufficiency (Addisonian crisis)?
A client with a history of Addison disease is admitted with a severe bout of influenza. Assessment findings include BP 80/46 mm Hg, HR 128/min, Vomiting and diarrhea, Confusion, Serum potassium 6.2 mmol/L
Condition: Addisonian Crisis (Acute Adrenal Insufficiency)
Priorities: