Question 1

A resident had a stroke.The person's left side is affected.The person's care plan includes the following.Which should you question?

Accepted Answer

Performing all ADLs for the resident may not be promoting their independence and could lead to learned helplessness. It would be best to encourage the resident to participate in their own care as much as possible to promote their quality of life and sense of control.

Question 2

Stroke is a(n)

Accepted Answer

Stroke is a disease that affects the arteries that supply blood to the brain. It occurs when a blood vessel carrying oxygen and nutrients to the brain is either blocked by a clot or bursts, leading to a lack of blood flow and oxygen in the brain. This can cause brain damage and sometimes death.

Question 3

Warning signs of stroke last a few minutes.This is called a(n)

Accepted Answer

Transient ischemic attacks (TIAs) are warning signs of a possible stroke, but they only last a few minutes to a few hours and do not result in permanent damage.

Question 4

A hip fracture requires

Accepted Answer

A hip fracture typically requires open reduction surgery, where the bones are realigned and often surgically repaired with pins, screws, or metal plates. Closed reduction, casting, and traction are not typically used for hip fractures.

Question 5

A resident has a fractured right hip.How is the leg positioned?

Accepted Answer

The leg is abducted at all times to prevent the hip from dislocating.

Question 6

Care of a person after a stroke often includes all of the following except

Accepted Answer

Ostomy care is not typically part of the care plan for a person who has had a stroke. The other options listed are commonly included in the care plan for stroke patients.

Question 7

Functions lost as a result of stroke depend on the

Accepted Answer

The area of brain damage specifically determines which functions will be lost or impaired following a stroke. The cause of the stroke, person's age, and attitude may have some impact on recovery and rehabilitation, but do not directly determine which functions will be affected.

Question 8

Warning signs of stroke include all of the following except

Accepted Answer

Sudden loss of bowel or bladder control is not typically a warning sign of stroke. The other options listed are common warning signs of stroke.

Question 9

Effects from stroke often include all of the following except

Accepted Answer

Tremors and stiff muscles are not typically associated with strokes. The other options are common effects of strokes.

Question 10

A resident had a stroke.When does rehabilitation begin?

Accepted Answer

Rehabilitation should begin as soon as possible after a stroke in order to maximize the person's chances for recovery and manage any potential complications. This may involve initial therapy in the hospital before transferring to a rehabilitation center or beginning therapy in a nursing center as soon as possible. Delaying rehabilitation can lead to longer recovery times and reduced effectiveness of interventions.

Question 11

A resident has a fractured right hip.You must use devices to prevent

Accepted Answer

The answer of A resident has a fractured right hip.You...

Question 12

A resident has a fractured right hip.The doctor ordered elastic stockings.They are used to

Accepted Answer

Elastic stockings are designed to prevent thrombi or blood clots from forming in the legs by promoting blood flow and preventing stasis. This is important in patients with a fractured hip who may be at higher risk for developing blood clots due to reduced mobility.

Question 13

A resident had a stroke.The person cries easily,sometimes for no reason.Which is true?

Accepted Answer

Changing emotions are a common effect of stroke. This is because stroke can damage the part of the brain responsible for regulating emotions. It is important to provide emotional support and reassurance to the person as they adjust to their new reality. However, it is also important to monitor for signs of depression or anxiety and seek medical attention if necessary. Hospice programs are not typically appropriate for individuals who have survived a stroke.

Question 14

Risk factors for stroke include all of the following except

Accepted Answer

Diabetes, osteoporosis, and obesity are not recognized as risk factors for stroke, while hypertension, family history, heart disease, inactivity, excessive alcohol use, smoking, and high blood cholesterol are all established risk factors.

Question 15

Which is a common effect of stroke?

Accepted Answer

Hemiplegia or partial paralysis affecting one side of the body is a common effect of stroke.

Question 16

A resident has a fractured right hip.What position is not allowed?

Accepted Answer

A resident with a fractured right hip should not be placed in a right side-lying position to prevent putting too much weight and pressure on the affected hip. The left side-lying position is acceptable. Fowler's and Semi-Fowler's positions are also acceptable, as they do not put pressure on the hip.

Question 17

A resident fell in the shower and fractured his right hip.He is back at the nursing center after surgery to repair the hip.You know that he is at risk for which of the following post-operative complications?

Accepted Answer

Patients who have undergone hip surgery are at risk for developing pressure ulcers due to the prolonged bed rest, constipation due to decreased activity and potential side effects of pain medications, and confusion due to changes in environment and anesthesia. Depression, skin tears, burns, incontinence, hair loss, stomatitis, diarrhea, bleeding, and infection are not typically associated with hip surgery.

Question 18

The two most common causes of stroke are

Accepted Answer

The two most common causes of stroke are bleeding in the brain (hemorrhagic stroke) and blood clots (ischemic stroke). Hypertension and diabetes are risk factors for stroke, but not the actual causes. Infection and accidental injury can lead to stroke, but they are not the primary causes. Aging and poor nutrition can contribute to the risk of stroke, but they are not direct causes.

Question 19

A resident's left leg was amputated.The person complains of pain in the left leg.This is

Accepted Answer

Phantom limb pain is a type of pain that is felt in a limb that is no longer there. It is a common phenomenon experienced by amputees and can be very painful. Although the limb is no longer present, the brain continues to receive signals from the nerves that used to be connected to the limb, causing the person to feel pain or discomfort in the area where the limb used to be.

Question 20

Warning signs of stroke include all of the following except

Accepted Answer

Sudden, severe chest pain and shortness of breath are not typically warning signs of a stroke. They could be symptoms of a heart attack or another medical emergency, but not a stroke. The other options listed are commonly recognized warning signs of a stroke.

Quiz 39: Nervous System and Musculo-Skeletal Disorders

A resident had a stroke.The person's left side is affected.The person's care plan includes the following.Which should you question?

Stroke is a(n)

Warning signs of stroke last a few minutes.This is called a(n)

A hip fracture requires

A resident has a fractured right hip.How is the leg positioned?

Care of a person after a stroke often includes all of the following except

Functions lost as a result of stroke depend on the

Warning signs of stroke include all of the following except

Effects from stroke often include all of the following except

A resident had a stroke.When does rehabilitation begin?

A resident has a fractured right hip.You must use devices to prevent

A resident has a fractured right hip.The doctor ordered elastic stockings.They are used to

A resident had a stroke.The person cries easily,sometimes for no reason.Which is true?

Risk factors for stroke include all of the following except

Which is a common effect of stroke?

A resident has a fractured right hip.What position is not allowed?

A resident fell in the shower and fractured his right hip.He is back at the nursing center after surgery to repair the hip.You know that he is at risk for which of the following post-operative complications?

The two most common causes of stroke are

A resident's left leg was amputated.The person complains of pain in the left leg.This is

Warning signs of stroke include all of the following except