1. A stroke is an episode of

1. A stroke is an episode of acute neurological dysfunction as a result of an interruption of cerebral blood flow. Strokes are broadly classified as ischemic and hemorrhagic. Which of the following statement is correct regarding cardiovascular causes and effects of stroke? Ischemic stroke can cause cardiovascular abnormalities; hemorrhagic stroke does not. Both types of stroke can cause cardiovascular abnormalities. Hemorrhagic stroke can be caused by cardiovascular disorders, whereas ischemic stroke is always the result of hematologic abnormalities. Both ischemic and hemorrhagic stroke can be caused by cardiovascular disorders. a) and c) b) and c) b) and d) 2. Emboli that travel to the brain and occlude blood flow can originate from the right ventricle left atrium heart valves ventricular wall a) and c) b), c), and d) 3. Stroke can lead to cardiovascular problems that can cause significant functional dependence, morbidity, and mortality. Stroke-related disturbance of the sympathetic nervous system can lead to seizures migraine headache conduction defects liver failure a) and b) a), c), and d) 4. A nurse is educating a group of older adults about stroke. The nurse is correct to explain that _______ is a risk factor for stroke. hyperlipidemia eczema peripheral vascular disease asthma a) and c) b) and d) 5. A nurse working in the ED is assessing a patient for possible stroke. The nurse should recognize that patients with stroke commonly present with facial weakness sudden-onset severe headache manic mood difficulty with speech a), b), and c) a), b), and d) b), c), and d) 6. Which of the following tests may be used to guide dosages for anticoagulant and antiplatelet therapy in a patient at increased stroke risk? Fasting lipid and fasting blood glucose levels PT, PTT, and international normalized ratio (INR) Blood type/crossmatch Noncontrast CT scan 7. The nurse providing care for a patient who had an ischemic stroke should educate the patient and their family members that the stroke could have been caused by chronic hypertension allergic rhinitis nonadherence with the patient’s prescribed antihypertensive therapy osteoporosis a) and b) a) and c) b) and d) 8. The nurse who is educating a group of patients with chronic diseases that increase stroke risk is correct to explain that ______ is associated with increased risk for stroke. tuberculosis gastroesophageal reflux disease (GERD) diabetes mellitus (DM) aplastic anemia 9. The charge nurse should explain to a group of new nurses that ______ is the most important modifiable risk factor for stroke, found in 70-75% of patients with acute stroke. hypocholesterolemia hyperlipidemia arthritis hypertension 10. The nurse who is preparing to test a patient for cardiovascular risk factors related to stroke should gather supplies for performing EKG endoscopy non-stress test UA 11. The nurse is preparing a patient who is at risk for a stroke for a carotid endarterectomy. The nurse should explain all the potential risks and benefits for the procedure verify completion of facility informed consent documents closely monitor the patient for airway obstruction before the procedure instruct the patient to avoid walking independently before the procedure to minimize risk for a fall 12. The nurse is educating a patient who is recovering from an ischemic stroke. The nurse should explain that the patient is at risk for deep vein thrombosis (DVT) ascites venous congestion pulmonary embolism a) and b) b) and d) a) and d) 13. The nurse should explain to a patient who is at risk for stroke that it is important to continue long-term medical surveillance eat a diet high in partially hydrogenated oils drink a minimal amount of water daily abstain from alcohol completely 14. A nurse educator is teaching a group of student nurses about the potential cardiovascular effects of stroke. The nurse educator is correct to explain that stroke-related disturbance of the sympathetic nervous system can lead to loss of lean tissue mass muscular atrophy, fiber phenotype shift, and insulin resistance myocardial injuries, dysrhythmias, conduction defects, and repolarization abnormalities decreased muscular fitness and mobility 15. What percentage of patients with acute stroke develop an arrythmia? < 1% 50-70% About 25% 5-10%

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