STROKES
SIGNS & SYMPTOMS
TESTS & TREATMENTS
NIH Stroke Scale
Nursing Care
100
The most common type of stroke.
What is ischemic?
100
Sudden numbness or weakness of face, arm, or leg, especially on one side of body.
What are some of the common symptoms of stroke?
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
This is a top priority in care of the patient with altered LOC who may have suffered a stroke (hint: one of the ABCs).
What is maintaining the airway?
200
Anticoagulants and thrombotics increase the risk of this type of stroke.
What is intracerebral hemorrhagic stroke?
200
Numbness, trouble speaking, loss of balance or coordination.
What are common symptoms of TIA?
200
A commonly ordered test that gives very accurate images that show the presence, location, and size of aneurysms.
What is an MRI?
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 a clot or plaque fragment the travels through the bloodstream to the brain.
What is embolic?
300
Sudden confusion, trouble speaking, or understanding; sudden severe headache with no known cause.
What are some common symptoms of stroke?
300
Commonly ordered tests using IV radioactive compounds.
What are CTA and MRA?
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 intracerebral hemorrhagic stroke.
What is hypertension?
400
Sudden nausea and vomiting; brief loss of consciousness or a period of decreased consciousness (fainting, confusion, convulsions or coma).
What are some of the less common symptoms of stroke?
400
This clot-busting drug must be given within 3 hours or onset of stroke symptoms.
What is tPA?
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
The two most common causes of subarachnoic hemorrhagic stroke.
What are head trauma and aneurysm?
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?