1) the nurse is assigned to care for a client w/ complete right sided hemiparesis from a stroke. Which characteristics are associated with this condition? SATA a) The client is aphasic  b) The client has weakness on the right side of the body c) The client has complete bilateral paralysis of the arms and legs. d) The client has weakness on the right side of the face and tongue. e) The client has lost the ability to move the right arm but is able to walk independently. f) The client has lost the ability to ambulate independently but is able to feed and bathe self without assistance. 2) What is the purpose of the NIHSS tool? a) It evaluates the severity of the stroke b) It determines the type of stroke a patient experienced c) It predicts patient outcomes d) It helps determine the appropriate treatment 3) From your understanding of calling a code stroke alert, how does it differ from a code blue?  a) Code blue and Code stroke are the same b) Calling code blue is done when the patient is only showing 1-2 symptoms of stroke manifestations, while code stroke alert is called when the patient is showing at least 3 or more manifestations of stroke c) Code stroke allows HCP’s to get their patient the resources they need for timely stroke intervention (crash cart, stroke team, CT scan technician is alerted) d) Code blue allows the MD to see the patient immediately and place an order for a CT scan STAT 4) SLP’s are an integral part of the Neurostroke team. What are their main roles for post-stroke care? a) For regaining strength, coordination, and mobility b) Works collaboratively with the patient to establish the impact of stroke on the performance of daily tasks c) Their main goal is stroke prevention, acute care, rehabilitation and community re-engagement d) Assessment and management of dysphagia, aphasia, motor speech disorders, and cognitive communication 5) While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as: a) Dysarthria b) Apraxia c) Alexia d) Aphasia 6) You receive a patient who is suspected of experiencing a stroke from EMS. You conduct a stroke assessment with the original NIH Stroke Scale. The patient scores a 40. According to the scale, the result is: a) No stroke symptoms b) Severe stroke symptoms c) Mild stroke symptoms d) Moderate stroke symptoms 7) Thrombolytic medications (i.e. Alteplase) are used early in the course of a ischemic stroke to restore blood flow. The eligibility of a patient must be determined within 4.5 hours of the onset of the infarct and the target door-to needle time is less than 60 mins. Why was this patient NOT a candidate for thrombolytic therapy? SATA. a) The timing of the syndrome onset was unclear and likely a wake up stroke b) The patient has uncontrolled hypertension. c) It is contraindicated because the patient has a history of hemorrhagic stroke d) The patient has a known allergy to the product or its preservatives. 8) Which ones are the modifiable risk factors of stroke? a) Hypertension b) Age c) Gender d) DIabetes e) Atrial Fibrillation  f) Dyslipidemia 9) What interventions are usually done after a code stroke alert is called? a) NIHSS assessment b) MRI scan STAT c) Lab work d) Ensure patient has IV access e) CT scan STAT f) Administer NS IV 10) OT's are an integral part of the Neurostroke team. What are their main roles for post-stroke care? a) To determine functional goals of the patient b) To help the patient with communication and swallowing deficits c) To help patient regain muscle strength d) To help with stroke prevention 11) What is the recommended target time for a CT scan to be performed on a patient after calling a code stroke alert? a) less than 15 minutes b) less than 10 minutes c) less than 5 minutes d) no more than 20 minutes

Care Plan Presentation: Stroke

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