Short quiz

April 27, 2024

Online Class (RLE)
Level III-Group 7
Clinical Instructor: BERMONICA B. BITARA

Name: NICOLE ALESSANDRA MARTINEZ

Questions:

1. As a nursing student, you encounter a patient having a Stroke. What comes first
in your mind when assessing patients experiencing CVA?

Assessing a stroke patient involves evaluating critical factors like symptom

onset, symptom presentation, vital signs, neurological status, and medical
history. Determining symptom onset guides time-sensitive treatments like
thrombolytic therapy, while symptom presentation helps diagnose the stroke
type and location. Monitoring vital signs guides treatment decisions, and a
thorough neurological assessment evaluates the stroke severity.

2. Give at least 5 health teaching habits to prevent CVD/Stroke.

Preventing CVA stroke entails educating individuals on managing risk factors

and adopting a healthy lifestyle. Key teachings include managing hypertension
through regular monitoring, medication adherence, and lifestyle changes.
Promoting a balanced diet rich in fruits, vegetables, and lean proteins while
limiting unhealthy fats and sodium helps lower stroke risk. Regular exercise,
smoking cessation support, and managing chronic conditions like diabetes and
high cholesterol are also crucial. By implementing these strategies, individuals
can reduce their risk of stroke and improve overall cardiovascular health.

3. What is the most common or frequent cause of CVA?

Unmanaged Hypertension is one, if not most common cause of CVA. This is

due to the high pressure of blood flowing through the vessels, potentially
causing damage to the lumen and prompting the formation of an atheroma or a
clot. Once a clot dislodges from the lumen of the vessel, it may travel through
the circulation and eventually block the cerebral circulation. Same thing
happens with a hemorrhagic infarct, high blood pressure is the culprit of an
aneurysm, because due to its continues increased force inserted to the walls of
the vessen, an aneurysm may occur.

4. In caring for a patient with CVA, what is your priority in nursing diagnosis and
why?

Impaired Tissue perfusion related to interruption of cerebral blood flow.

In the treatment of stroke, impaired tissue perfusion to the brain requires the
most critical time-bound intervention. This is due to the extent of severity of
 the brain damage caused by just a few or several minutes of interrupted blood
supply to the brain.
5. In patients who are diagnosed with Ischemic Stroke, what are the drugs of choice
that are given to the patient? Discuss the action and nursing considerations in
giving the medication to the patient.

The drug of choice for acute ischemic stroke, tissue plasminogen activator
(tPA), acts by promoting fibrinolysis and restoring blood flow to ischemic
brain tissue. Nursing interventions include thorough patient assessment,
medication preparation, and obtaining informed consent. Nurses closely
monitor for bleeding or adverse reactions, manage blood pressure, conduct
frequent neurological assessments, and implement thrombolytic precautions to
minimize risks. Multidisciplinary collaboration ensures timely administration
and ongoing management of tPA therapy, emphasizing the importance of
coordinated care to optimize outcomes for stroke patients.