The nurse is aware that the drug t-PA (Activase), a tissue plasminogen activator, must be given in____hours of the onset of symptoms to have maximum benefit.
a. 3 hours
b. 4 hours
c. 6 hours
d. 8 hours
Question 2What does the nurse know about the stroke patient who has expressive aphasia?
a. Has difficulty comprehending spoken and written communication
b. Cannot make any vocal sounds
c. Has total loss and comprehension of language
d. Can understand the spoken word, but cannot speak
Question 3The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to:
a. stagger and need support of a walker.
b. shuffle with arms flexed.
c. fall over to one wide when walking.
d. take small steps balanced on the toes.
Question 4A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and goose flesh. What should be the primary nursing intervention based on these assessments?
a. Place patient in flat position and check temperature
b. Administer oxygen and check oxygen saturation
c. Place on side and check for leg swelling
d. Sit upright and check blood pressure
Question 5A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition?
a. It is an ominous indicator of permanent paralysis.
b. It is possibly a temporary condition and will clear.
c. It degenerates into a spastic paralysis.
d. It will progress up the cord to cause seizures.
Question 6The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago. The nurse bases the plan of care on the knowledge that the patient will be able to:
a. feed self with setup and adaptive equipment.
b. transfer self to wheelchair.
c. stand erect with full leg braces.
d. sit with good balance.
Question 7What is the nurse aware of when assessing a person with a craniocerebral injury?
a. Most injuries of this type are irreversible
b. Open injuries are always more serious than closed injuries
c. Signs and symptoms may not occur until several days after the trauma
d. Trauma to the frontal lobe is more significant than to any other area
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