Which disturbance results in loss of half of the visual field?
a) Anisocoria
b) Homonymous hemianopsia
c) Nystagmus
d) Diplopia
Answer: Homonymous hemianopsia
Cerebrovascular disorders
- Which of the following is a contraindication for the administration of tissue plasminogen activator (t-PA)?
- A client is receiving an I.V. infusion of mannitol (Osmitrol) after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding most significant?
- The nurse is providing diet-related advice to a male patient following a cerebrovascular accident (CVA). The patient wants to minimize the volume of food and yet meet all nutritional elements. Which of the following suggestions should the nurse give to the patient about controlling the volume of food intake?
- A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tPA. The nurse knows to give this drug no later than what time?
- A patient has been diagnosed as having global aphasia. The nurse recognizes that the patient will be unable to do which of the following actions?
- Which of the following is the initial diagnostic test for a stroke?
- Which of the following statements reflect nursing management of the patient with expressive aphasia?
- A 73-year-old client is visiting the neurologist. The client reports light-headedness, speech disturbance, and left-sided weakness that have lasted for several hours. In the examination, an abnormal sound is auscultated in an artery leading to the brain. What is the term for the auscultated discovery?
- Which of the following is accurate regarding a hemorrhagic stroke?
- A patient presents to the emergency room with complaints of having an "exploding headache" for the last 2 hours. The patient is immediately seen by a triage nurse who suspects the patient is experiencing a stroke. Which of the following is a possible cause based on the characteristic symptom?
- A physician orders several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question?
- A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?
- While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are:
- The nurse practitioner advises a patient who is at high risk for a stroke to be vigilant in his medication regime, to maintain a healthy weight, and to adopt a reasonable exercise program. This advice is based on research data that shows the most important risk factor for stroke is:
- Which of the following antiseizure medication has been found to be effective for post-stroke pain?
- Which of the following is the most common side effect of tissue plasminogen activator (tPA)?
- A patient diagnosed with a stroke is ordered to receive warfarin (Coumadin). Later, the nurse learns that the warfarin is contraindicated and the order is canceled. The nurse knows that the best alternative medication to give is which of the following?
- A patient who has suffered a stroke begins having complications regarding spasticity in the lower extremity. What ordered medication does the nurse administer to help alleviate this problem?
- A nurse knows that, for a patient with an ischemic stroke, tPA is contraindicated if the blood pressure reading is:
- A client has experienced an ischemic stroke that has damaged the lower motor neurons of the brain. Which of the following deficits would the nurse expect during assessment?
- A nurse is working with a student nurse who is caring for a client with an acute bleeding cerebral aneurysm. Which action by the student nurse requires further intervention?
- Which of the following terms refer to the inability to perform previously learned purposeful motor acts on a voluntary basis?
- A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this phase may last?
- The provider diagnoses the patient as having had an ischemic stroke. The etiology of an ischemic stroke would include which of the following?
- The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient?