Explain how knowing the type of CVA is an important factor in planning care
What will be an ideal response?
The primary difference between the types of strokes is in the medical management. An ischemic
stroke, caused by the occlusion of a cerebral artery by either a thrombus or an embolus, can be
treated by fibrinolytic therapy. Patients who have had an embolic stroke might be placed on
anticoagulant therapy; anticoagulants and fibrinolytic therapy are contraindicated in a patient who
has had a hemorrhagic stroke.
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Which behavior will young children most likely display when experiencing acute pain?
1. Thrashing of arms and legs 2. Ability to concentrate 3. Cooperation with treatments 4. Deep sleep
A client has a subarachnoid bolt. What action by the nurse is most important?
a. Balancing and recalibrating the device b. Documenting intracranial pressure readings c. Handling the fiberoptic cable with care to avoid breakage d. Monitoring the client's phlebostatic axis
What would the nurse assess for in a child with a disturbance in the basal ganglia?
A. Ataxia B. Hyperthermia C. Hypotension D. Incontinence
A nurse is discussing fibrinolytic therapy for the acute phase of STEMI management with a group of nursing students. Which statement by a student indicates understanding of this therapy?
a. "Fibrinolytics are effective when the first dose is given up to 24 hours after symp-tom onset." b. "Fibrinolytics should be given once car-diac troponins reveal the presence of STEMI." c. "Fibrinolytics should be used with caution in patients with a history of cerebrovascu-lar accident." d. "Patients should receive either an anti-coagulant or an antiplatelet agent with a fibrinolytic drug."