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ANSWER TO Stroke (CVA) Quiz

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1. A patient is admitted with uncontrolled atrial fibrillation. The patient’s medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for? A. Ischemic thrombosis B. Ischemic embolism C. Hemorrhagic D. Ischemic stenosis The answer is B. If a patient is in uncontrolled a-fib they are at risk for clot formation within the heart chambers. This clot can leave the heart and travel to the brain. Hence, an ischemic embolism type stroke can occur. An ischemic thrombosis type stroke is where a clot forms within the artery wall of the neck or brain. 2. Which patient below is at most risk for a hemorrhagic stroke? A. A 65 year old male patient with carotid stenosis. B. A 89 year old female with atherosclerosis. C. A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago. D. A 55 year old female with atrial flutter. The answer is C. A hemorrhagic stroke occurs when bleeding in the ...
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Pressure Ulcers / Decubetus Ulcer (Bedsores)

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Pressure ulcers are a common and serious problem in clinical practice, particularly for clients who are bedridden or use a wheelchair. These injuries to the skin and underlying tissue can cause significant pain and discomfort, and can even lead to life-threatening infections, sepsis, abscesses, necrotizing fasciitis, and osteomyelitis. Nurses play a critical role in preventing and managing pressure ulcers, and understanding how to stage these wounds is an essential part of their practice. What are pressure ulcers?  Pressure ulcers are injuries to the skin and underlying tissue caused by prolonged pressure restricting blood flow.  Nursing tip: Always do a full head-to-toe skin assessment upon admission or transfer to your unit, and document appropriately. What causes pressure ulcers? Pressure ulcers (older terms: bed sores, decubitus) are usually caused by prolonged pressure on the skin. Other causes include friction, shear, moisture, and contributing factors include ...
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🩺 Key Nursing Care Protocol Before Transfer

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  1. Immediate Patient Assessment a.        Check vital signs: Blood pressure, heart rate, respiratory rate, oxygen saturation, and temperature. b.        Airway patency: Ensure endotracheal tube, tracheostomy, or airway adjuncts are secure. c.        Level of consciousness: Assess response to verbal/tactile stimuli. d.        Pain and comfort: Evaluate pain score and administer prescribed analgesics if needed. 2. Stabilization Before Transfer a.        Hemodynamic stability: Confirm the patient is not in shock or unstable. b.        Fluid balance: IV lines should be patent, fluids running as prescribed. c.        Drainage tubes/catheters: Check patency, secure placement, and ensure no leakage. d.        Dressings: Inspect sur...
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