The nurse notes on the surgical schedule that a patient is scheduled for cranial burr holes. For which health problems does the nurse realize this type of surgical approach is indicated?
Select all that apply.
1. Ischemic stroke
2. Migraine headache
3. Epidural hematoma
4. Hemorrhagic stroke
5. Acute subdural hematoma
Question 2The nurse is instructing a patient with a brain tumor about a scheduled craniotomy. What should the nurse include in this teaching?
Select all that apply.
1. The tumor is excised.
2. The bone is cut between the burr holes.
3. The bone flap is returned to the opening.
4. A series of burr holes is made in the skull.
5. Plastic material is placed over the opening.
Question 3While reviewing newly prescribed orders, the nurse begins to prepare a patient to receive plasminogen activator alteplase (tPA). What should the nurse realize about this patient's health problem?
Select all that apply.
1. The patient had an ischemic stroke.
2. The patient had a hemorrhagic stroke.
3. The patient has uncontrollable seizure activity.
4. The patient had a stroke less than 3 hours ago.
5. The patient's systolic blood pressure is greater than 200 mmHg.
Question 4A patient recovering from a stroke has agnosia. What should the nurse do when caring for this patient?
1. Frequently repeat the names of familiar persons and objects in the patient's room when providing care.
2. Help the patient move hands and arms through the motions of combing hair and getting dressed.
3. Speak with a normal tone of voice near the ear on the unaffected side.
4. Talk normally to the patient but allow adequate time for the patient's short responses.
Question 5The nurse is caring for a patient with a seizure disorder who is scheduled for surgery to remove the epileptogenic focus within the cerebral cortex. The nurse realizes that this patient must have met which criteria to have this type of surgery planned?
Select all that apply.
1. The patient desires to have a family.
2. There is one focal point located within the patient's brain.
3. The patient cannot afford antiseizure medication prescribed.
4. Medications have not been successful to control seizure activity.
5. The patient is unable to hold a full-time job because of seizure activity.
Question 6The nurse is completing discharge teaching to a patient following hospitalization for a seizure disorder who is being prescribed phenytoin (Dilantin). What should the nurse include in these instructions?
1. Maintain good oral hygiene, use a soft toothbrush, massage the gums, and floss daily.
2. Carry identification indicating the type of seizures for which you are being treated.
3. You will need to have your sodium level monitored.
4. If you skip a dose, make sure you double the dose the next day.
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