True or false: If your patient says nonsense words, “word salad” after a stroke, you would suspect a stroke localized to the posterior branch of the middle cerebral artery (MCA).
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True or false: If your patient says nonsense words, “word salad” after a stroke, you would suspect a stroke localized to the posterior branch of the middle cerebral artery (MCA).
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- After a potential stroke you should make sure the person has something to eat and drink. True or False?Which of the vascular pathology is associated with a triggered pain sensation? subcortical hemorrhage frontal infarct lacunar infarcts subdural or subarachnoid hematoma aneurysmMolly Carpenter, a 44-year-old female client,is admitted with an embolic stroke, and the cardiologist ordered a transesophageal echocardiogram (TEE). The client refused to sign the informed written consent when the cardiologist presented it to the client. The client has a shaky voice, she complains of palpitations, and there is visible diaphoresis present on Molly’s forehead. Molly is pacing back and forth in the room and her eyes are dilated. The vital signs include T, 98°F; BP, 140/90 mmHg; HR, 110 beats/minute; RR, 28 breaths/minute. The cardiologist talked with the client, stating that the test needs to be done to clearly find out if there are any blood clots in the heart that could travel and cause a future stroke. The client recognizes the test is needed but stated she is freaked out by the thought of a tube being shoved down her throat. The LPN/LVN needs to provide nursing interventions to reduce Molly’s anxiety so she can learn more about the TEE and comfort measures that will…
- 1.)You are being dispatched for a report of a possible stroke. You arrive at a modest private residence where you and your partner are met by a woman identifying herself as the patient’s wife. She informs you the patient is in the basement and begins to lead the way. As she escorts you downstairs, she says, “We had both been taking a nap. I woke up about 15 minutes ago and he was already awake sitting on the couch, but he wouldn’t answer my questions.” Once in the basement, you find an approximate 49-year-old male patient who is conscious and seated on the couch. You estimate him to be over 6 feet tall, weighing roughly 240 pounds and you observe he seems to be favoring his left hand and has a slight offset to one side of his mouth. The patient is not drooling and seems to be swallowing easily. You do not see any evidence of respiratory distress or an inability to protect his airway. He is calm but makes no attempt to speak and can follow commands. You attempt to obtain a SAMPLE…Electrical impulses travelling from a point of origin to adjacent regions of the cortex is referred to as: Epilepsy Petit-Mal Seizure Tonic-Clonic Seizure Grand Mal Seizure O Jacksonian MarchA blood clot that lodges in a cerebrial artery can cause: a heart attack high blood pressure hypertension a stroke
- Shi Lan is a 79-year-old who uses the pronouns he/him. Mr. Lan arrives at the emergency departments with stroke symptoms, including facial asymmetry, left-side weakness, and slurred speech. His past medical history includes type 2 diabetes and Atrial fibrillation. Based on his presentation, what vessel in Mr. Lan brain do you think is likely being blocked? Mr. Lan takes the following medications: Daily 81mg aspirin, Coumadin 5 mg, Metformin 2000mg, and a multivitamin. Because of his stroke symptoms, the health care provider orders an additional aspirin dose. What are your concerns about giving this medication? How and will you provide the aspirin? You check Mr. Lan’s blood glucose, and the glucometer reports that Mr. Lan’s blood glucose is 352. As his nurse, what would you say and recommend to the health care provider managing his care?Which of the following cause normal intracranial pressure: (select all that apply) Brain tissue CSF Volume Skull circumference Cerebral blood volumeCASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…
- CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…