The NIHSS evaluates the effects of a stroke The NIHSS is an assessment tool that evaluates the effects of a stroke in the areas of level of consciousness LOC and motor sensory function and measures stroke severity It is not an invasive procedure but an assessment that the health care team member performs It has no effect on preventing a second stroke Although the data gained from the NIHSS assessment may be used in research the primary purpose is for the assessment of the patient experiencing the stroke 57 Stroke Evolve Study online at https quizlet com 3yvxm0 2 1 A nurse is explaining the National Institutes of Health Stroke Scale NIHSS to a graduate nurse Which statement best indicates that the graduate nurse under stands the purpose of performing the NIHSS 1 The NIHSS helps pre vent a second stroke 2 The NIHSS evaluates the effects of a stroke 3 The NIHSS is used pri marily for research data collection 4 The NIHSS is an inva sive procedure that mea sures stroke severity 2 A patient is suspected of 2 having a subarachnoid hemorrhage For which diagnostic test will the Cerebral angiography 1 64 is the most reliable diagnostic study to identify the source of subarach 57 Stroke Evolve Study online at https quizlet com 3yvxm0 nurse prepare the pa tient as the most reliable diagnostic study to iden tify the source of sub arachnoid hemorrhage 1 Cardiac imaging 2 Cerebral angiography 3 Magnetic resonance an giography 4 4 Computed tomography angiography The nurse is prepar ing a community stroke awareness program The nurse knows that which ethnic group has the highest incidence of stroke 1 Asians 2 Mexicans 3 noid hemorrhage This test helps identify cervical and cerebrovascular occlusions Cardiac imaging magnetic resonance angiography and computed tomography angiography are not as definitive for identifying the source of subarachnoid hemorrhage African Americans African Americans have twice the incidence of stroke related to hyper tension obesity and diabetes Caucasians Mexicans and Asians have a lower risk of stroke than do African Americans 2 64 57 Stroke Evolve Study online at https quizlet com 3yvxm0 3 Caucasians 4 African Americans 4 A nurse is explaining 2 4 methods to reduce the risk of stroke to a pa tient What instructions should the nurse convey to the patient Select all that apply 1 Limit fluid and fiber in take 2 Eat a diet low in saturat ed fats 3 Decrease level of physi cal exercise 4 Maintain a normal blood pressure BP 5 3 64 Eat a diet low in saturated fats Maintain a normal blood pressure BP 5 Limit consumption of alcohol to moderate levels Alcoholics and people with hypertension are prone to strokes Hence alcohol consumption should be limited a diet low in fat should be consumed and BP should be maintained Also physical exercise and adequate fluid and fiber intake will decrease the risk of stroke and should be promoted Intracerebral hemorrhage Symptoms such as headaches vomiting dysphagia dysarthria and eye movement disturbances indicate intracerebral hemorrhage An embolic stroke is mostly related to heart conditions such as atrial fibrillation myocardial infarction and infective endocarditis A thrombotic stroke has the clinical manifestation of decreased level of consciousness in the first 24 hours Clinical manifestations such as stiff neck and cranial nerve deficits indicate a subarachnoid hemorrhage 3 57 Stroke Evolve Study online at https quizlet com 3yvxm0 Limit consumption of al cohol to moderate levels 5 patient who sustained a stroke is having a severe headache vomiting dys phagia dysarthria and eye movement distur bances What type of stroke does the nurse determine to correlate with these clinical mani festations 1 Embolic stroke 2 Thrombotic stroke 3 Intracerebral hemor rhage 4 Subarachnoid hemor rhage 6 A patient has sus An increase in hydrogen ion concentration tained a head injury and is suspected to have increased intracra nial pressure Which fac An increase in hydrogen ion concentration results in increased cerebral blood flow A decrease in blood viscosity will increase cerebral blood flow An increase in carbon dioxide levels results in increased cerebral 4 64 blood flow A partial pressure of oxygen in arterial blood PaO2 less than 50 mm Hg increases the cerebral blood flow Agnosia is the inability to recognize familiar objects Aphasia is diffi culty in speaking or understanding speech Alexia is difficulty reading Agraphia is difficulty writing 57 Stroke Evolve Study online at https quizlet com 3yvxm0 tor does the nurse rec ognize will improve cere bral blood flow 1 An increase in blood vis cosity 2 A decrease in carbon dioxide levels 3 An increase in hydrogen ion concentration 4 A high partial pressure of arterial oxygen The nurse finds that the patient is unable to rec ognize familiar objects after a stroke What term does the nurse chart in the patient s medical record 1 Alexia 2 Agnosia 7 2 Agnosia 5 64 57 Stroke Evolve Study online at https quizlet com 3yvxm0 3 Aphasia 4 2 Agraphia The nurse would expect to find what clinical man ifestation in a patient ad mitted with a left hemi spheric stroke 1 Impaired speech Impulsivity 2 Impaired speech 3 Left side neglect 4 1 Short attention span The patient is sched uled for a transcranial Doppler imaging scan What information will this test provide 1 It measures the velocity 8 9 Clinical manifestations of left hemispheric stroke damage include right hemiplegia impaired speech language impaired right left discrim ination and slow and cautious performance Impulsivity left sided neglect and short attention span are all manifestations of right sided brain damage It measures the velocity of blood flow Transcranial Doppler imaging is used to measure the velocity of blood flow in the cerebral arteries A lumbar puncture identifies red blood cells in the cerebrospinal fluid A computed tomographic scan visualizes the cerebral blood vessels The LICOX system is used to measure brain oxygenation and temperature 6 64 57 Stroke Evolve Study online at https quizlet com 3yvxm0 of blood flow 2 It identifies red blood cells 3 It visualizes blood ves sels 4 It measures oxygena tion Impulsiveness 1 10 A patient has sustained a stroke on the right side of the brain What clin ical manifestations does the nurse determine to be associated with this type of injury 1 A patient who sustains a stroke on the right side of the brain shows impulsiveness Impaired speech slow performance and a paralyzed right side occur when a patient has