*NURSING > TEST BANK > Lewis: Medical-Surgical Nursing Questions and Answers Graded A+ (All)

Lewis: Medical-Surgical Nursing Questions and Answers Graded A+

Document Content and Description Below

MULTIPLE CHOICE 1. After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about a. cerebral aneurysm ... clipping. c. oral low-dose aspirin therapy. b. heparin intravenous infusion. d. tissue plasminogen activator (tPA). ANS: C The patient’s symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit platelet aggregation are prescribed after a TIA to prevent a stroke. Continuous heparin infusion is not routinely used after TIA or with acute ischemic stroke. The patient’s symptoms are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not for TIA. DIF: Cognitive Level: Apply (application) REF: 1353 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 2. A patient is being admitted with a possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving the prescribed aspirin? a. The patient has dysphasia. b. The patient has atrial fibrillation. c. The patient reports that symptoms began with a severe headache. d. The patient has a history of brief episodes of right-sided hemiplegia. ANS: C A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack are not contraindications to aspirin use. DIF: Cognitive Level: Apply (application) REF: 1348 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. A patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the nurse expect to find? a. Impulsive behavior b. Right-sided neglect c. Hyperactive left-sided tendon reflexes d. Difficulty comprehending instructions a. Impulsive behavior b. Right-sided neglect c. Hyperactive left-sided tendon reflexes d. Difficulty comprehending instructions ANS: D Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive behavior and neglect are more likely with a right-side stroke. DIF: Cognitive Level: Apply (application) REF: 1350 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 4. During the change of shift report, a nurse is told that a patient has an occluded left posterior cerebral artery. The nurse will anticipate that the patient may have a. dysphasia. c. visual deficits. b. confusion. d. poor judgment. ANS: C Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with middle cerebral artery involvement. Cognitive deficits and changes in judgment are more typical of anterior cerebral artery occlusion. DIF: Cognitive Level: Apply (application) REF: 1350 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 5. When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral atherosclerosis a. to monitor and record the blood pressure daily. b. to call the health care provider if stools are tarry. c. that clopidogrel will dissolve clots in the cerebral arteries. d. that clopidogrel will reduce cerebral artery plaque formation. ANS: B Clopidogrel inhibits platelet function and increases the risk for gastrointestinal bleeding, so patients should be advised to notify the health care provider about any signs of bleeding. The medication does not lower blood pressure, decrease plaque formation, or dissolve clots. DIF: Cognitive Level: Apply (application) REF: 1353 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 6. A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate? a. “The obstructing plaque is surgically removed from inside an artery in the neck.” b. “The diseased portion of the artery in the brain is replaced with a synthetic graft.” c. “A wire is threaded through an artery in the leg to the clots in the carotid artery, and the clots are removed.” d. “A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque.” a. “The obstructing plaque is surgically removed from inside an artery in the neck.” b. “The diseased portion of the artery in the brain is replaced with a synthetic graft.” c. “A wire is threaded through an artery in the leg to the clots in the carotid artery, and the clots are removed.” d. “A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque.” ANS: A In a carotid endarterectomy, the carotid artery is incised, and the plaque is removed. The response beginning, “The diseased portion of the artery in the brain is replaced” describes an arterial graft procedure. The answer beginning, “A catheter with a deflated balloon is positioned at the narrow area” describes an angioplasty. The final response beginning, “A wire is threaded through the artery” describes the mechanical embolus removal in cerebral ischemia (MERCI) procedure. DIF: Cognitive Level: Understand (comprehension) REF: 1353 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 7. A patient admitted with possible stroke has been aphasic for 3 hours, and his current blood pressure (BP) is 174/94 mm Hg. Which order by the health care provider should the nurse question? [Show More]

Last updated: 6 months ago

Preview 1 out of 14 pages

Reviews( 0 )

Recommended For You

 *NURSING> TEST BANK > Test Bank For Taylor's Clinical Nursing Skills a Nursing Process Approach 5th Edition (All)

preview
Test Bank For Taylor's Clinical Nursing Skills a Nursing Process Approach 5th Edition

Test Bank For Taylor's Clinical Nursing Skills a Nursing Process Approach 5th Edition

By TESTBANKSGURU , Uploaded: Sep 02, 2023

$28.5

 *NURSING> TEST BANK > Test Bank:NSG 210 Concepts and Trends in Healthcare Questions and Answers and Rationale ,100% CORRECT (All)

preview
Test Bank:NSG 210 Concepts and Trends in Healthcare Questions and Answers and Rationale ,100% CORRECT

Test Bank:NSG 210 Concepts and Trends in Healthcare Questions and Answers and Rationale 1. Managed care organizations are insurers that carefully plan and closely supervise the distribution of healt...

By securegrades , Uploaded: Sep 14, 2022

$15

 *NURSING> TEST BANK > Basic Pharmacology for Nurses 17th Edition by Clayton (All)

preview
Basic Pharmacology for Nurses 17th Edition by Clayton

Basic Pharmacology for Nurses 17th Edition by Clayton Basic Pharmacology for Nurses 17th Edition by Clayton Basic Pharmacology for Nurses 17th Edition by Clayton Basic Pharmacology for Nurses 17th...

By Gradexam , Uploaded: Jun 30, 2021

$12

 *NURSING> TEST BANK > Chapter 17: The Nervous System ; Bates’ Guide to Physical Examination and History Taking, 12th Edition (All)

preview
Chapter 17: The Nervous System ; Bates’ Guide to Physical Examination and History Taking, 12th Edition

Bates’ Guide to Physical Examination and History Taking, 11th Edition Chapter 17: The Nervous System Multiple Choice 1. A 28-year-old book editor comes to your clinic, complaining of strange episod...

By Nutmegs , Uploaded: May 06, 2022

$11

 *NURSING> TEST BANK > Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank |Latest Edition 2021 (All)

preview
Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank |Latest Edition 2021

Primary Care: Art and Science of Advanced Practice Nursing - An Interprofessional Approach 5th edition Dunphy Test Bank |Latest Edition 2021

By d.occ , Uploaded: Aug 24, 2021

$18

 *NURSING> TEST BANK > Test Bank Abnormal Psychology 9th Edition Oltmanns Chapter 1 - 18 Updated Guide 2022 (All)

preview
Test Bank Abnormal Psychology 9th Edition Oltmanns Chapter 1 - 18 Updated Guide 2022

Test Bank Abnormal Psychology 9th Edition Oltmanns Chapter 1 - 18 Updated Guide 2022Test Bank Abnormal Psychology 9th Edition Oltmanns Chapter 1 - 18 Updated Guide 2022Test Bank Abnormal Psychology...

By NurseGrade , Uploaded: Nov 06, 2022

$25.5

 *NURSING> TEST BANK > Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e (All)

preview
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e

Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9eChapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing MULTIPLE CHOICE 1. A nu...

By clairegrades , Uploaded: May 25, 2022

$25

 *NURSING> TEST BANK > Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE (All)

preview
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE

Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge...

By bundleHub Solution guider , Uploaded: Aug 24, 2022

$10

 *NURSING> TEST BANK > Neeb’s Mental Health Nursing 5th Edition Gorman Test Bank (All)

preview
Neeb’s Mental Health Nursing 5th Edition Gorman Test Bank

Chapter 01: History of Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The act of developing a clean environment is a fa...

By Nutmegs , Uploaded: Oct 21, 2021

$13

 *NURSING> TEST BANK > Test Bank – Focus on Nursing Pharmacology 7th Edition by Karch (All)

preview
Test Bank – Focus on Nursing Pharmacology 7th Edition by Karch

Test Bank – Focus on Nursing Pharmacology 7th Edition by Karch (All Chapters Comprehensively Covered) Test Bank – Focus on Nursing Pharmacology 7th Edition by Karch (All Chapters Comprehensivel...

By Quiz Merchant , Uploaded: Oct 11, 2022

$15

$12.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
46
0

Document information


Connected school, study & course



About the document


Uploaded On

Sep 02, 2021

Number of pages

14

Written in

Seller


seller-icon
Nutmegs

Member since 2 years

542 Documents Sold


Additional information

This document has been written for:

Uploaded

Sep 02, 2021

Downloads

 0

Views

 46

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$12.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter
Useful links
  • Courses
  • Categories
  • We accept

    payment cards


    Copyright © Browsegrades · High quality services·