Caring For Clients With Cerebrovascular Disorders

Front 1

Aching in the head

Back 1

Cephalgia

Front 2

Brief, fleeting attacks of neurologic impairment

Back 2

Transient ischemic attack

Front 3

Inability to speak

Back 3

Expressive aphasia

Front 4

Ability to see only 50% of the normal visual field

Back 4

Hemianopia

Front 5

abnormal dilation of a blood vessel wall

Back 5

Aneurysm

Front 6

sudden impairment of a cerebral circulation caused by partial or tatal blockage in one or more cerebral blood vessels

Back 6

cerebrovascular accident

Front 7

inability to understand spoken and written language

Back 7

Receptive aphasia

Front 8

abnormal sound detected with a stethoscope that detects blood flowing over the rough surface of an artery

Back 8

Bruit

Front 9

Death of brain tissue

Back 9

Cerebral infarction

Front 10

circulation formed by smaller blood vessels branching off from or near larger occluded arteries

Back 10

collateral circulation

Front 11

paralysis on one side of the body

Back 11

Hemiplegia

Front 12

surgical removal of atherosclerotic plaque

Back 12

endarterectomy

Front 13

(nclex)
a nurse is counseling a group of individuals with chronic tension. What strategies should the nurse teach clients for dealing with the onset of headaches in the future?

Back 13

Relaxation exercises and avoid headache triggers

Front 14

(nclex)
A client is admitted with the diagnosis of TIA. The client asks, " What is a TIA?" How should the nurse respond?

Back 14

"Your bran was temporarily deprived of oxygen."

Front 15

(NCLEX)
The nurse is teaching a client who has had a TIA. W/C of the following is true ?

Back 15

A TIA may be a forewarning that the client who has left-sided weakness and aphasia caused by a CVA.

Front 16

(nclex)
Which area of the brain is affected in the client who has left-sided weakness and aphasia caused by CVA?

Back 16

Right hemisphere

Front 17

(nclex)
A client is transferred to a rehab facility after a CVA.

What is the goal of the rehab?

Back 17

to maximize the client's remaining abilities

Front 18

(nclex)
Which nursing intervention is best for communicating with a client with expressive aphasia?

Back 18

have the client point to pictures to words or pictures on a poster.

Front 19

(nclex)
To surgically repair a cerebral aneurysm, the surgeon may...

Back 19

wrap or clip the aneurysm

Front 20

(nclex)
Which of the following is the major reason for keeing a client with a ruptured aneurysm quiet?a. stimulation may potentiate a Valsava maneuver.
b. physical activity will lower the amount of CSFavailable to the client's brain.
c. physical activity will cause increased intracranial pressure(IICP)
d. stimulation will worsen the client's condition.

Back 20

c. physical activity will cause increased intracranial pressure (IICP)

Front 21

(nclex)
clients who have had CVAs ,may recieve which of the following medications to prevent a future CVA?
A. valium
b. atenolol
c. mannitol
d. aspirin

Back 21

d. asprin

Front 22

(short answers)
What is meant by the term cllateral circulation?

Back 22

collateral circulation is circulation formed by small blood vessles that branch from larger occluded vessels. Having adequate collateral circulation cn lessen the effects of a CVA

Front 23

List three goals in the treatment of a client with a ruptured cerebral aneurysm.

Back 23

complete bed rest, prevention of rebleeding, and treatment of complications.

Front 24

what is the major difference in the treatmento of an ischemic CVA and a hemorrhagic CVA?

Back 24

ischemic CVAs are treated with thrombolytic agents and anticoagulants, which would worsen the condition of a client with a emorrhagic CVA.

Front 25

list four of the s & sx that may warn a client of an impending stroke.

Back 25

possilbe answers include numbness or weakness of one side of the face, arm, or leg; mentle confusion;difficulty speaking or understanding; impaired walking or coordinations; and sever headache.