While doing a public awareness class about stroke, a participant asks you if all stroke patients are paralyzed on one side of their bodies. Your reply would be:
A) Yes. Both the arm and leg must be paralyzed for the health professional to recognize a stroke.
B) No. Some patients suffering stroke will show no signs or symptoms, but still must be evaluated.
C) Yes. To be diagnosed with a stroke, the arm and/or leg must be very weak and paralyzed.
D) No. Some stroke patients may have only slight weakness to one side of their bodies.
Question 2
A 63-year-old male is alert and oriented, complaining of dizziness. He describes an acute onset of dizziness and near-syncope that has lasted for 15 minutes. He is also experiencing substernal chest pain radiating to his jaw, as well as nausea and weakness. Physical examination reveals cool, diaphoretic skin; delayed capillary refill; and mild crackles to the bases bilaterally. He has no significant medical history, but he takes 325 mg of aspirin a day. HR = 220, BP = 88/52, RR = 16, SaO2 = 92. Which of the following should be done first?
A) Start an IV of normal saline
B) Synchronized cardioversion
C) Oxygen by nonrebreathing mask
D) Administer 0.4 mg of nitroglycerin sublingually
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