The purpose of my capstone project is to raise awareness and educate nurses more on strokes since it is one of the leading causes of death in the US. I have done research that shows nurses need more education dealing with them. I will provide a pre quiz, education that goes over important information we as nurses need to know and then a post quiz! Thank you for participating! I ask when you do the quiz that you do not look up any information so I can run the statistics to see on my own if we need more education :)!

How many years have you been a nurse?

Do you agree to not to look up the answers, work together or ask someone?

Yes

What can mimic a stroke or stroke symptoms

Hypercalcemia

Hypoglycemia

Hypotension

Hyperkalemia

When a patient is showing symptoms of a stroke what is done first

MRI

Take a blood sugar

Call a code stroke

What test is done to rule out any bleeding and shows an old stroke

MRI

X-ray

EEG

What is the leading cause of a stroke

Smoking

Hypertension

Poor physical activity

Unhealthy diet

How many hours can a stroke go untreated before the brain ages 36 years

You are assigned 4 patients on your unit. Which one is most at risk for a hemorrhagic stroke?

67 year old male with carotid stenosis

90 year old male with uncontrolled hypertension who had a brain aneurysm 2 years ago

52 year old female with a flutter

90 year old female with artherosclerosis and a flutter

Your patient suffered a stroke a couple weeks ago and now is showing signs of hearing loss and loss of emotion. What love on the MRI is shown to be affected

Parietal lobe

Temporal lobe

Occipital lobe

Frontal lobe

How long do you have to get a CT when’s patient presents with stroke symptoms?

10 minutes

30 minutes

15 minutes

20 minutes

Your stroke patient who is having hemianoplasia is getting discharged. What education is taught to prevent injury?

Make sure to do physical therapy that includes muscle training

Take your blood thinner every morning

Eat soft foods and tuck your chin while doing so

Scan the room from side to side

A patient comes to your ER and is diagnosed with a CVA. What position should you initially put your patient in?

High fowlers

Supine

Lateral

Prone

After receiving a post stroke patient on the unit, you assess the patient and believe they are showing signs of increased intercranial pressure. What symptoms would they be presenting with

Irregular respirations

Widened pulse pressure

Increased pulse rate

Oxygen saturation at 96%

A patient presents to the ER. The patient is actually having a stroke but the ER misses the symptoms and sends the patient home. What symptoms is most likely to be missed when having a stroke?

Blurred vision

Headache causing loss of sensation

Numbness in the arm

Coordination problems

What is the first line treatment for ischemic stroke, if heqd CT is negative & benefits outweigh risk & the patient is a candidate?

Aspirin

TPA

Nefedipine

Clonidine

What is one of the most important questions to ask family/ friends/ staff anyone that’s been with the patient during your exam?

When was the last time patient had anything to eat

When was the patients last known well was

If the patient is diagnosed with hypertension

Is the patient is diabetic

How long will a patient be monitored in the ICU after administering TPA?

12 hours

6 hours

15 hours

24 hours

Before administering TPA what is one of the most important things that you need to do?

Take Anti-Xa

Make sure all lines/foley are put in

Run a bolus of fluids

Make sure bladder is empty

How much time after the last known well to administer TPA?

6.5 hours

3.5 hours

4.5 hours

4 hours

Is a patient is outside the window to receive TPA, what other options do they have to treat?

Mechanical thrombectomy

Start heparin drip

CABG

Mechanical heart valve

If a patient is diagnosed with a TIA what is the outcome?

Permanent damage lasting a few years

No permanent damage, higher risk for stroke

Weakness on one side of the body, High risk for another stroke

No sensation in lower half of body

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