Stroke Case Study (45 min)

A nurse is caring for two clients that have been admitted to the unit with a hemorrhagic stroke. The nurse assistant gives the the following vitals for the two clients. Which of the following abnormal vital signs is the most concerning?

A nurse is reviewing the mnemonic for stroke, which is “FAST”. The nurse remembers the “A” standing for which of the following?

A nurse is becoming certified in stroke care. The nurse understands that in the “FAST” mnemonic for stroke, the “F” stands for which of the following?

A client presents to the emergency department with symptoms of a stroke. The nurse prepares the client for a CT of the head. What is the reason for a head CT?

The nurse is caring for a client who has been admitted for a stroke. Vital signs and neurological exams have been stable. The client has a follow-up CT scan of the head for tomorrow, orders to see PT/OT, a diet order, and sequential compression devices to be placed. The client has also requested a glass of water. What is the nurse’s priority at this time?

A client is being admitted to the intensive care unit following an acute ischemic stroke. The nurse has an order to administer clopidogrel. The nurse knows that in addition to preventing recurrent strokes, which of the following conditions indicate this type of medication?

The nurse is working in the emergency department with a client who presented with stroke-like symptoms. A non-contrast head CT was performed and was negative for hemorrhagic stroke. The provider wants tissue plasminogen-activase administered, and has placed the following orders. Which of the following orders must be completed first?