![]() Transfer the patient to the neurological care unitī. Which of these actions by the healthcare provider is the priority?Ī. You DO NOT want to give them a baby aspirin because if it's a hemorrhagic stroke, it could cause greater hemorrhagic damage A patient arrives at the ED with slurred speech, right facial droop, and right arm weakness. Rationale: You want to write down what time the symptoms started so that if it is an ischemic stroke, they can administer tPA in time. Write down the time that symptoms started Give the family member one baby aspirin A. Ask your family member to smile and assess for any facial droopingĭ. Write down the time that symptoms startedĬ. Facial drooping, arm weakness, slurred speech, and time! When a family member is suspected of having a stroke, which of the following should you do immediately? SELECT ALL THAT APPLYĪ. Which of the following best describe the signs and symptoms of a stroke?ĭ. ![]() Rationale: This one is literally just common sense y'all A health care provider is providing community education on signs and symptoms of stroke. It is important to maintain a healthy weight and control your BP. Foods high in saturated fats can be consumed in moderate amounts.ĭ. There is no correlation between diabetes and risk of strokeĬ. There is no known link between risk of stroke and regular exerciseī. The teaching plan for this class will include which of these instructions?Ī. A and B occur after prolonged increased ICP A health care provider is conducting a community education class on stroke prevention. Although C is the most *reliable* indicator of increased ICP, it is not the earliest sign. Rationale: This is the EARLIEST sign of increased ICP. Inability to wake patient with noxious stimuliĭ. Headache and vomiting (This is an EARLY sign all the other signs come later if ICP continues for a longer period of time)Ĭ. Which of the following would she cite as an early sign of increased ICP?Ī. Rationale: Any other positions beside a neutral neck position, head midline, and head of bed elevated to 30-45 degrees could actually increase ICP The nurse is teaching family members of a patient with a concussion about the early signs of increased ICP. Which of the following position would the nurse avoid?ĭ. The nurse is positioning the female client with increase ICP. Rationale: Mannitol causes a rapid decrease in fluid by drawing the fluid into the vascular space by osmosis for excretion. To promote osmotic diuresis to decrease ICP To draw water into the vascular system to increase blood pressure C. To promote osmotic diuresis to decrease ICPĭ. The physician orders Mannitol for which of the following reasons?Ĭ. Rationale: An embolic stroke is commonly caused by cardiac problems, such as a-fib A client with a subdural hematoma becomes restless and confused with dilation of the pupil. Aspirin in the medication list to treat atrial fibrillation Aspirin in the medication list to treat atrial fibrillationĭ. Which of the following in the patient history would you expect to see?ī. A patient has been diagnosed with an embolic stroke. Mannitol and hypertonic IV solution will be part of the care plan. Rationale: Performing a lumbar puncture can actually increase ICP because it could cause brain herniation. Hypertonic IV solution rate at 100 mL/hr B. Keeping the HOB elevated to 30 degrees with neck in midline positionĭ. Which of the following orders would you question?Ĭ. Your patient has been diagnosed with increased intracranial pressure (ICP).
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