A patient presents with aphasia, decreased level of consciousness, and right-sided weakness
The patient has a history of heart disease, hyperlipidemia, and transient ischemic attacks. Based on the history, the nurse suspects that the patient has sustained which type of stroke?
a. Hemorrhagic stroke
b. Intracerebral hemorrhages
c. Subarachnoid hemorrhages
d. Ischemic stroke
D
Ischemic stroke results from interruption of blood flow to the brain and accounts for 80% to 85% of all strokes. The interruption can be the result of a thrombotic or embolic event. Thrombosis can form in large vessels (large-vessel thrombotic strokes) or small vessels (small-vessel thrombotic strokes). Embolic sources include the heart (cardioembolic strokes) and atherosclerotic plaques in larger vessels (atheroembolic strokes). In 30% of the cases, the underlying cause of the stroke is unknown (cryptogenic strokes). Strokes are classified as ischemic and hemorrhagic. Hemorrhagic strokes can be further categorized as subarachnoid hemorrhages and intracerebral hemorrhages.
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The nurse is caring for a patient in the postoperative unit following carotid endarterectomy. How should the nurse position the patient?
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