A client with a severe head injury is admitted to the emergency department (ED). The preliminary assessment indicates central cerebrovascular accident (CVA) and gradual worsening of symptoms of brain ischemia
The symptom indicates that the client is in which of the following stage of a CVA? A) Transient ischemic attack
B) Stroke in evolution
C) Reversible ischemic neurologic deficit
D) Completed stroke
B
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The client is in the stroke in evolution stage of CVA. Stroke in evolution (SIE) is a gradual worsening of symptoms of brain ischemia. Transient ischemic attack (TIA) is a sudden, short-lived attack. The person recovers within 24 hours. TIA is often a warning that another, more serious stroke will occur later. Reversible ischemic neurologic deficit (RIND) is similar to TIA, except that the symptoms last for as long as a week. Recovery is complete or nearly so. RIND is also a warning that a more serious stroke is likely. Completed stroke (CS) occurs when symptoms of stroke are present and stabilize over a period.
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