STROKES
Communication
TESTS & TREATMENTS
NIH Stroke Scale
Nursing Care
100
The most common type of stroke.
What is ischemic?
100

Loss of ability to understand or express speech, caused by brain damage

What is Aphasia?

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

An acquired neurological disorder causing a loss in the ability to communicate through writing, either due to some form of motor dysfunction or an inability to spell.

What is Agraphia?

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

A language disorder marked by deficiency in the generation of speech, and sometimes also in its comprehension, due to brain disease or damage.

Dysphasia

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

Difficult or unclear articulation of speech that is otherwise linguistically normal.

Dysarthria

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

Term used to describe the inability to perform particular purposeful actions despite normal muscle strength and tone.

What is Apraxia?

500

A standardized scoring tool used by physicians and other healthcare professionals to measure and record the level of impairment caused by a stroke.

What is the NIH Stroke Scale?

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?