NCLEX Review: Strokes

A stroke is a common condition that nurses will encounter. In this NCLEX review video we will explore the two types of strokes – ischemic and hemorrhagic. We will discuss how ischemic strokes are divided further into either thrombotic or embolic strokes; and hemorrhagic strokes are either intracerebral or subarachnoid. We will look at the signs and symptoms of a stroke, the diagnosis, treatment, prevention measures, effects and disabilities stroke survivors experience, rehab, and patient education.

NCLEX Strokes Infographic

Infographic explaining strokes

Everything You Need to Know About Strokes (Brain Attacks)

Stroke – occurs when the blood flow to the brain is interrupted

There are two types of stroke

  1. Ischemic stroke
    1. Blood vessel carrying blood to the brain is blocked
      1. Thrombotic strokes: thrombus (blood clot) develops in an artery in the brain
      2. Embolic strokes: blood clot forms somewhere else in the body and travels through the bloodstream to a blood vessel in the brain
  2. Hemorrhagic stroke
    1. Blood vessel breaks and bleeds into the brain
      1. Intracerebral hemorrhage: bleeding of blood vessels within the brain
      2. Subarachnoid hemorrhage: bleeding in subarachnoid space, due to aneurysm or arteriovenous (AV) malformation

Classic symptoms of stroke: BE FAST

  • Balance – loss of balance, confusion
  • Eyes – blurred vision
  • Face is uneven
  • Arm is weak or numb
  • Speech is slurred or garbled
  • Time to call 9-1-1

TIA (Transient Ischemic Attack) – brief episode of stroke-like symptoms that appear suddenly, then get better. A warning sign of an impending stroke.

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by Mometrix Test Preparation | Last Updated: January 12, 2021