Care of the Patient with Acute Ischemic Stroke – PSA
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1 / 10
1. Anticipation, prevention, early recognition, and management of potential post stroke medical complications are essential for patients with an acute stroke.
2 / 10
2. The National Institutes of Health Stroke Scale (NIHSS) is the most widely used measure, Use of this standardized scale allows quantification of stroke severity and is considered in patient eligibility for thrombolysis or endovascular therapy.
3 / 10
3. Nurses play a vital role in identifying patients at risk of clinical deterioration by undertaking ongoing observation and assessments, including timely and appropriate action in response to changes in patient health status.
4 / 10
4. Despite remarkable changes in the diagnosis and treatment of acute ischemic stroke, it remains a devastating disease with significant personal, family, and health system impacts
5 / 10
5. Other than hemiparesis and aphasia, there are no other stroke complications.
6 / 10
6. It is not necessary to assess for pain in the ischemic stroke patient, since most of these patients do not report pain.
7 / 10
7. Nursing assessment of the stroke patient should include evaluate pupils, noting size, shape, equality, and light reactivity.
8 / 10
8. The discharge transition from the acute setting to the community is one of the most vulnerable and significant periods in the continuum of care for patients with stroke and their families
9 / 10
9. The initial nursing assessment of the patient with stroke after admission to the hospital should include evaluating the patient’s vital signs, particularly oxygen saturation, BP, and temperature, in addition to measuring blood glucose and performing a bedside dysphagia screen/ assessment.
10 / 10
10. The purpose of a dedicated acute stroke unit is to provide interdisciplinary care, including specialized nursing care, to improve outcomes and to reduce complications after stroke.
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