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
Causes of cerebrovascular accident (CVA), or stroke.
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