Esmeralda Espitia
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Adult health 2 test 2 Quiz sobre Stroke , criado por Esmeralda Espitia em 05-02-2020.

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Stroke

Questão 1 de 21

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1. A patient is admitted with uncontrolled atrial fibrillation. The patient’s medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?

Selecione uma das seguintes:

  • A. Ischemic thrombosis

  • B. Ischemic embolism

  • C. Hemorrhagic

  • D. Ischemic stenosis

Explicação

Questão 2 de 21

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2. Which patient below is at most risk for a hemorrhagic stroke?

Selecione uma das seguintes:

  • A. A 65 year old male patient with carotid stenosis.

  • B. A 89 year old female with atherosclerosis.

  • C. A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.

  • D. A 55 year old female with atrial flutter.

Explicação

Questão 3 de 21

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3. You’re educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition:

Selecione uma ou mais das seguintes:

  • A. TIAs are caused by a temporary decrease in blood flow to the brain.

  • B. TIAs produce signs and symptoms that can last for several weeks to months.

  • C. A TIAs is a warning sign that an impending stroke may occur.

  • D. TIAs don’t require medical treatment.

Explicação

Questão 4 de 21

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4. A patient who suffered a stroke one month ago is experiencing hearing problems along with issues learning and showing emotion. On the MRI what lobe in the brain do you expect to be affected?

Selecione uma das seguintes:

  • A. Frontal lobe

  • B. Occipital lobe

  • C. Parietal lobe

  • D. Temporal

Explicação

Questão 5 de 21

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5. A patient’s MRI imaging shows damage to the cerebellum a week after the patient suffered a stroke. What assessment findings would correlate with this MRI finding?

Selecione uma das seguintes:

  • A. Vision problems

  • B. Balance impairment

  • C. Language difficulty

  • D. Impaired short-term memory

Explicação

Questão 6 de 21

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6. A patient is demonstrating signs and symptoms of stroke. The patient reports loss of vision. What area of the brain do you suspect is affected based on this finding?

Selecione uma das seguintes:

  • A. Brain stem

  • B. Hippocampus

  • C. Parietal lobe

  • D. Occipital lobe

Explicação

Questão 7 de 21

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7. A patient has right side brain damage from a stroke. Select all the signs and symptoms that occurs with this type of stroke:

Selecione uma ou mais das seguintes:

  • A. Right side hemiplegia

  • B. Confusion on date, time, and place

  • C. Aphasia

  • D. Unilateral neglect

  • E. Aware of limitations

  • F. Impulsive

  • G. Short attention span

  • H. Agraphia

Explicação

Questão 8 de 21

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8. You’re educating a group of nursing students about left side brain damage. Select all the signs and symptoms noted with this type of stroke:

Selecione uma ou mais das seguintes:

  • A. Aphasia

  • B. Denial about limitations

  • C. Impaired math skills

  • D. Issues with seeing on the right side

  • E. Disoriented

  • F. Depression and anger

  • G. Impulsive

  • H. Agraphia

Explicação

Questão 9 de 21

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9. During discharge teaching for a patient who experienced a mild stroke, you are providing details on how to eliminate risk factors for experiencing another stroke. Which risk factors below for stroke are modifiable?

Selecione uma ou mais das seguintes:

  • A. Smoking

  • B. Family history

  • C. Advanced age

  • D. Obesity

  • E. Sedentary lifestyle

Explicação

Questão 10 de 21

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10. Your patient who had a stroke has issues with understanding speech. What type of aphasia is this patient experiencing and what area of the brain is affected?

Selecione uma das seguintes:

  • A. Expressive; Wernicke’s area

  • B. Receptive, Broca’s area

  • C. Expressive; hippocampus

  • D. Receptive; Wernicke’s area

Explicação

Questão 11 de 21

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11. Your patient has expressive aphasia. Select all the ways to effectively communicate with this patient?

Selecione uma ou mais das seguintes:

  • A. Fill in the words for the patient they can’t say.

  • B. Don’t repeat questions.

  • C. Ask questions that require a simple response.

  • D. Use a communication board.

  • E. Discourage the patient from using words.

Explicação

Questão 12 de 21

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12. While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as:

Selecione uma das seguintes:

  • A. Dysarthria

  • B. Apraxia

  • C. Alexia

  • D. Dysphagia

Explicação

Questão 13 de 21

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13. You’re reading the physician’s history and physical assessment report. You note the physician wrote that the patient has apraxia. What assessment finding in your morning assessment correlates with this condition?

Selecione uma das seguintes:

  • A. The patient is unable to read.

  • B. The patient has limited vision in half of the visual field.

  • C. The patient is unable to wink or move his arm to scratch his skin.

  • D. The patient doesn’t recognize a pencil or television.

Explicação

Questão 14 de 21

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14. You need to obtain informed consent from a patient for a procedure. The patient experienced a stroke three months ago. The patient is unable to sign the consent form because he can’t write. This is known as what:

Selecione uma das seguintes:

  • A. Agraphia

  • B. Alexia

  • C. Hemianopia

  • D. Apraxia

Explicação

Questão 15 de 21

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15. You’re assessing your patient’s pupil size and vision after a stroke. The patient says they can only see half of the objects in the room. You document this finding as:

Selecione uma das seguintes:

  • A. Hemianopia

  • B. Opticopsia

  • C. Alexia

  • D. Dysoptic

Explicação

Questão 16 de 21

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16. A patient who has hemianopia is at risk for injury. What can you educate the patient to perform regularly to prevent injury?

Selecione uma das seguintes:

  • A. Wearing anti-embolism stockings daily

  • B. Consume soft foods and tuck in chin while swallowing

  • C. Scanning the room from side to side frequently

  • D. Muscle training

Explicação

Questão 17 de 21

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17. You receive a patient who is suspected of experiencing a stroke from EMS. You conduct a stroke assessment with the NIH Stroke Scale. The patient scores a 40. According to the scale, the result is:

Selecione uma das seguintes:

  • A. No stroke symptoms

  • B. Severe stroke symptoms

  • C. Mild stroke symptoms

  • D. Moderate stroke symptoms

Explicação

Questão 18 de 21

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18. In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered?

Selecione uma das seguintes:

  • A. 6 hours after the onset of stroke symptoms

  • B. 3 hours before the onset of stroke symptoms

  • C. 3 hours after the onset of stroke symptoms

  • D. 12 hours before the onset of stroke symptoms

Explicação

Questão 19 de 21

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19. Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke?

Selecione uma ou mais das seguintes:

  • A. A patient with a CT scan that is negative.

  • B. A patient whose blood pressure is 200/110.

  • C. A patient who is showing signs and symptoms of ischemic stroke.

  • D. A patient who received Heparin 24 hours ago.

Explicação

Questão 20 de 21

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20. You’re assisting a patient who has right side hemiparesis and dysphagia with eating. It is very important to:

Selecione uma das seguintes:

  • A. Keep the head of bed less than 30′.

  • B. Check for pouching of food in the right cheek.

  • C. Prevent aspiration by thinning the liquids.

  • D. Have the patient extend the neck upward away from the chest while eating.

Explicação

Questão 21 de 21

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21. A patient has experienced right side brain damage. You note the patient is experiencing neglect syndrome. What nursing intervention will you include in the patient’s plan of care?

Selecione uma das seguintes:

  • A. Remind the patient to use and touch both sides of the body daily.

  • B. Offer the patient a soft mechanical diet with honey thick liquids.

  • C. Ask direct questions that require one word responses.

  • D. Offer the bedpan and bedside commode every 2 hours.

Explicação