exam 7 alterations
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| what are the symptoms of right sided stroke | Paralyzed left side
Left side neglect
Spatial perceptual deficits
Tends to deny or minimize problems
Rapid performance short attention span
Impulsive/safety problems
Impaired judgment/time concepts
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| what are the symptoms of a left sided stroke | Paralyzed right side
Impaired speech/language
Impaired right/left discrimination
Slow performance/cautious
Aware of deficits, depression and anxiety
Impaired comprehension related to language and math
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| what are the signs of an internal carotid artery | Contralateral paralysis of arm, leg and face
Aphasia, apraxia, agnosia
Hemianopia
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| what are the signs of middle cerebral artery | Drowsiness, stupor & coma
Contralateral hemiplegia of arm and face
Global aphasia
Hemianopia
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| what are signs of anterior cerebral artery | Contralateral paralysis of foot and leg
Sensory loss of toes, feet and leg
Loss of ability to make decisions and act voluntarily and urinary incontinence
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| what are signs of vertebral artery | Pain in face, nose and eye
Numbness and weakness in face on involved side
Problems with gait
Dysphagia
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| What is a TIA | mini stroke
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| Antiplatelets are used to treat which kind of stroke | TIA (mini)
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| tPA must be given when | within 3 hours of symptom onset
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| antithrombotic meds are given when | when ischemic stroke is suspected
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| anticoagulants are given for which type of stroke | ischemic
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| never give an anticoagulant med to what kind of stroke | hemorrhagic
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| nursing interventions after a stroke | Position client on unaffected side for 2 hours and affected side for 20 minutes
Position client in prone position if prescribed for 30 minutes 3 times a day
Provide skin, mouth and eye care
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| nursing interventions after a stroke | Perform PROM to prevent contractures
Place TEDS on patient but remove daily to check skin
Measure thighs and calves bilaterally to check for increase in size and color
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| nursing interventions after a stroke | Monitor for gag reflex and ability to swallow
Provide sips of fluid and slowly advance diet
Provide soft and semisoft foods and thickened fluids
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| nursing interventions after a stroke | When eating have patient sit up with head and neck slightly forward and flexed
Place food in back of mouth on unaffected side to prevent trapping of food in cheek
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